Individual
HISHAM ELGENAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 KRESSON RD STE 105, CHERRY HILL, NJ 08034-3200
(856) 796-9340
(856) 547-0390
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
25MA07809900
NJ
207RT0003X
Transplant Hepatology Physician
Primary
25MA07809900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055280
—
NJ
Enumeration date
03/27/2006
Last updated
10/07/2024
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