Individual
ELY SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 HADDON AVE # A, CAMDEN, NJ 08103-3109
(856) 757-3840
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
25MA08894600
NJ
204F00000X
Transplant Surgery Physician
MT192744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260193
—
NJ
Enumeration date
01/22/2009
Last updated
10/07/2024
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