Organization
HOSSAM ELFARRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSAM ELFARRA MD (OWNER)
(973) 777-5778
Entity
Organization
Contact information
Practice address
1300 MAIN AVE STE 1B, CLIFTON, NJ 07011-2266
(973) 777-5778
Mailing address
7 SKYVIEW RD, WAYNE, NJ 07470-6284
(973) 777-5778
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA065385
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7303904
—
NJ
Enumeration date
05/26/2006
Last updated
03/01/2012
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