Organization
LAUREN ELREDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN ELREDA MD (OWNER PHYSICIAN)
(973) 483-9900
Entity
Organization
Contact information
Practice address
467 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-9900
(973) 483-9933
Mailing address
467 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-9900
(973) 483-9933
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA08230900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235466
—
NJ
Enumeration date
09/14/2010
Last updated
09/14/2010
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