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Specialty details in registry · Elizabeth, NJ

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At a glance

436 Morris Ave Apt 1, Elizabeth, NJ 07208-5609

NPPES record updated Aug 11, 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

436 Morris Ave Apt 1
Elizabeth, NJ 07208-5609
Professional details: NPI, taxonomy & registry record
NPI1245763416
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Apr 5, 2017
Record updated
Aug 11, 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

436 Morris Ave Apt 1
Elizabeth, NJ 07208-5609
Phone
(908) 354-3040
Mailing address
80 W GRAND ST

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

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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