Individual provider · Type 1 NPI

Elizabeth Pratt Gaston, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1407382237 Active

Practice location

3400 Spruce St, 6.081 Founders
Philadelphia, PA 19104-4238

Mailing address

3 Great Laurel Ct
The Woodlands, TX 77381-4833

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407382237

Elizabeth Pratt Gaston, MD's National Provider Identifier is 1407382237, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 11, 2017.