Individual
DR. ELIE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FCCP
Contact information
Practice address
719 NORTH BEERS STREET, SUITES 2E AND 2F, HOLMDEL, NJ 07733
(732) 264-1001
(732) 264-4495
Mailing address
719 NORTH BEERS STREET, SUITES 2E AND 2F, HOLMDEL, NJ 07733
(732) 264-1001
(732) 264-4495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06557
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA06557
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA06557
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8235104
—
NJ
Enumeration date
02/10/2006
Last updated
05/08/2024
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