Individual
DR. ELLIOT SETH COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 1ST ST, HACKENSACK, NJ 07601-2044
(201) 488-3003
(201) 488-6911
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11065800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813117
—
NJ
Enumeration date
04/26/2013
Last updated
08/09/2023
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