Individual
DR. DOUGLAS SCOTT ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
373 VOSSELLER AVE, BOUND BROOK, NJ 08805-1604
(732) 469-6662
(732) 469-4182
Mailing address
373 VOSSELLER AVE, BOUND BROOK, NJ 08805-1604
(732) 469-6662
(732) 469-4182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01607300
NJ
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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