Individual
ERIC J ELLINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 PROSPECT AVE, HACKENSACK, NJ 07601-2570
(201) 488-3003
(201) 488-6911
Mailing address
385 PROSPECT AVE, HACKENSACK, NJ 07601-2570
(201) 488-3003
(201) 488-6911
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA03427500
NJ
207RG0100X
Gastroenterology Physician
34275
NJ
Other
Enumeration date
06/22/2005
Last updated
01/10/2013
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