Individual
DR. MOHAMED ELMANSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6522
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB10827800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C9390
MEDICARE
NJ
Enumeration date
05/24/2016
Last updated
06/24/2020
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