Individual
RUSSELL ELMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25418
NV
207P00000X
Emergency Medicine Physician
25MA11468900
NJ
Other
Enumeration date
06/16/2019
Last updated
06/04/2024
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