Provider Demographics
NPI:1356421564
Name:DELLERS, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:DELLERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2545 SCHOENERSVILLE RD
Mailing Address - Street 2:DEPT. OF PATHOLOGY LEHIGH VALLEY HOSPITAL MUHLENBERG
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7300
Mailing Address - Country:US
Mailing Address - Phone:484-884-4267
Mailing Address - Fax:610-867-7318
Practice Address - Street 1:2545 SCHOENERSVILLE RD
Practice Address - Street 2:DEPT. OF PATHOLOGY LEHIGH VALLEY HOSPITAL MUHLENBERG
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7300
Practice Address - Country:US
Practice Address - Phone:484-884-4267
Practice Address - Fax:610-867-7318
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD-036197-E207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE87945Medicare UPIN
PA013903Medicare ID - Type Unspecified