Individual
ELHAM M ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 COHANSEY ST, BRIDGETON, NJ 08302-1918
(856) 451-4700
(856) 863-5732
Mailing address
53 S LAUREL ST, SECOND FLOOR, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 863-5732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2267101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172369822
—
NY
Enumeration date
07/19/2006
Last updated
03/01/2012
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