Provider Demographics
NPI:1891731717
Name:DREWS, ELIZABETH L (PA C PHYSICIAN ASS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:DREWS
Suffix:
Gender:F
Credentials:PA C PHYSICIAN ASS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:BARTOLETTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:LB# 7550 PO BOX 95000
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:84 EAST BROAD STREET
Practice Address - Street 2:HJ6 MEDICAL ASSOCIATES
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-1820
Practice Address - Country:US
Practice Address - Phone:609-466-1101
Practice Address - Fax:609-466-1482
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25 MP 00017200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S37864Medicare UPIN
896704BNLMedicare ID - Type Unspecified