Individual
ELENA R JAUREGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
609 MORRIS AVE, ELIZABETH, NJ 07208-1711
(908) 351-1700
(908) 351-2323
Mailing address
609 MORRIS AVE, ELIZABETH, NJ 07208-1711
(908) 351-1700
(908) 351-2323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA61659
NJ
208000000X
Pediatrics Physician
MA61659
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6708005
—
NJ
Enumeration date
09/30/2005
Last updated
11/29/2011
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