| Organization Name: | ELLIOTT INTERNAL MEDICINE, P.C. |
| NPI Number: | 1811108319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AVIDON APPEL (PRESIDENT OWNER) |
| Mailing Address: | 2300 Computer Rd Suite M70 Willow Grove |
| State: | PA US |
| Postal Code: | 190901752 |
| Phone Number: | 2156593770 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD063839L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |