Individual
DR. JACK C ELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 ELM ST, SECOND FLOOR, WESTFIELD, NJ 07090-3120
(908) 232-4400
(908) 232-0575
Mailing address
203 ELM ST, SECOND FLOOR, WESTFIELD, NJ 07090-3120
(908) 232-4400
(908) 232-0575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14926
NJ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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