Individual
DR. KEVIN MICHAEL MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 MOUNTAIN AVE STE 300, SPRINGFIELD, NJ 07081-2221
(973) 467-0005
(973) 912-8989
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2020-00962
NC
207RC0000X
Cardiovascular Disease Physician
Primary
25MA11633600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2013
Last updated
10/21/2023
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