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Individual

DR. ELAINE DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4013 ROUTE 9 N, HOWELL, NJ 07731-4021
(732) 905-5255
(732) 905-5266
Mailing address
17 CASINO DR, FARMINGDALE, NJ 07727-3701
(732) 938-3580

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD 423829
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
25MA07164700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10110345
PA
Enumeration date
07/17/2006
Last updated
11/03/2014
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