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Individual

DR. NEVEEN A. ELKHOLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1000 S ELMORA AVE, ELIZABETH, NJ 07202-3100
(908) 737-5703
Mailing address
PO BOX 740021, ATLANTA, GA 30374-0021
(773) 352-1515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07428300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194996645
444 WILLIAM STREET
NJ
01
1235300799
37 N DAY STREET
NJ
01
1740345693
741 BROADWAY
NJ
01
1932370483
101 LUDLOW STREET
NJ
01
1972778413
1148-1150 SPRINGFIELD AVE
NJ
05
84522
NJ
Enumeration date
06/15/2005
Last updated
06/12/2025
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