# ELITE OBGYN PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackensack Center for Minimally Invasive Gynecologic Sugrery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194076968
- **Authorized official:** ADAM SHOMAN MD (OWNER/REGISTERED AGENT)
- **Authorized official phone:** (201) 342-7002

## Contact information

- **Practice address:** 104 HUDSON ST STE 2, HOBOKEN, NJ 07030-5795
- **Practice address phone:** (201) 342-7002
- **Practice address fax:** (201) 342-7055
- **Mailing address:** 104 HUDSON ST STE 2, HOBOKEN, NJ 07030-5795
- **Mailing address phone:** (201) 342-7002
- **Mailing address fax:** (201) 342-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 04/03/2025