Individual
DR. DAVID M ELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
175 CROSS KEYS RD, 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Mailing address
115 SUMMIT LN, BALA CYNWYD, PA 19004-2918
(610) 664-1465
(610) 664-1466
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200056
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MB03351700
NJ
207RC0000X
Cardiovascular Disease Physician
3639
AZ
207RC0000X
Cardiovascular Disease Physician
OS003661L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500861000
INDEPENDENCE BLUE CROSS
PA
01
—
6847111
AETNA
NJ
Enumeration date
07/12/2006
Last updated
06/09/2014
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