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Specialty details in registry · Elizabeth, NJ

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At a glance

116 W Grand St Apt 1B, Elizabeth, NJ 07202-1400

NPPES record updated Jul 6, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

116 W Grand St Apt 1B
Elizabeth, NJ 07202-1400
Professional details: NPI, taxonomy & registry record
NPI1134746225
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Jul 6, 2020
Record updated
Jul 6, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

116 W Grand St Apt 1B
Elizabeth, NJ 07202-1400
Phone
(908) 558-9271
Mailing address
80 W GRAND ST

ELIZABETH, NJ 072021471
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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