Individual
ELLIOT S KERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
(973) 660-9779
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07748000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079634
—
NJ
01
—
P01193521
RAILROAD MEDICARE
NJ
Enumeration date
12/29/2005
Last updated
01/18/2017
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