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Organization
814 UNDERCLIFF MEDICAL PC
Active
Organization
814 UNDERCLIFF MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILANA ETELZON MD (PRESIDENT)
(646) 644-2481
Entity
Organization
Contact information
Practice address
814 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1521
(973) 954-4055
Mailing address
814 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1521
(646) 644-2481
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
09/29/2026
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