Provider Demographics
NPI:1154585909
Name:CARDINALE, ELIZABETH J (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:J
Last Name:CARDINALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:308 STUDENT HEALTH CENTER
Mailing Address - Street 2:UNIVERSITY HEALTH SERVICES
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802
Mailing Address - Country:US
Mailing Address - Phone:814-863-2058
Mailing Address - Fax:734-936-3063
Practice Address - Street 1:308 STUDENT HEALTH CTR
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802-2129
Practice Address - Country:US
Practice Address - Phone:814-865-4847
Practice Address - Fax:814-865-7778
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097678207R00000X
CAA98038207R00000X
PAMD474463207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD474463OtherSTATE LICENSE