Provider Demographics
NPI:1639142912
Name:GOREN, ELIHU N (MD PHD)
Entity Type:Individual
Prefix:
First Name:ELIHU
Middle Name:N
Last Name:GOREN
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:633 W GERMANTOWN PIKE SUITE 105
Mailing Address - Street 2:ENDOCRINE ASSOCIATES PC
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1002
Mailing Address - Country:US
Mailing Address - Phone:610-941-6799
Mailing Address - Fax:610-941-6381
Practice Address - Street 1:633 W GERMANTOWN PIKE SUITE 105
Practice Address - Street 2:ENDOCRINE ASSOCIATES PC
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1002
Practice Address - Country:US
Practice Address - Phone:610-941-6799
Practice Address - Fax:610-941-6381
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2010-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD016322E207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0977373010Medicaid
PA0048626000OtherLIBC
PA4066915OtherAETNA
PA0977373010Medicaid
PA4066915OtherAETNA