Individual
DR. ELOHOR ELLIE OTITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(443) 929-7030
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA12636200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
25MA12636200
NJ
Other
Enumeration date
04/14/2022
Last updated
03/07/2026
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