Provider Demographics
NPI:1265533616
Name:STROHL, ELAINE (PA)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:STROHL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 OLD LANCASTER RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3231
Mailing Address - Country:US
Mailing Address - Phone:610-527-1165
Mailing Address - Fax:610-527-6611
Practice Address - Street 1:825 OLD LANCASTER RD
Practice Address - Street 2:SUITE 410
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3231
Practice Address - Country:US
Practice Address - Phone:610-527-1165
Practice Address - Fax:610-527-6611
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051056363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA74041Medicare UPIN
PA094538F7EMedicare ID - Type UnspecifiedMEDICARE