Individual
DR. ELISE BUTKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 OVERLOOK RD, 103, SUMMIT, NJ 07901-3570
(908) 522-5700
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06301400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7297904
—
NJ
01
—
953197N2Z
BCBS
NJ
Enumeration date
11/01/2006
Last updated
09/04/2013
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