Individual
ELIAS A ILIADIS
Active
Individual
ELIAS A ILIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA074027
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172653
HORISON NJ HEALTH
—
01
—
2117895000
AMERIHEALTH, KEYSTONE, IBC
—
05
—
8856508
—
NJ
Enumeration date
10/04/2006
Last updated
04/25/2016
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