Organization
ELLIOTH FISHKIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN COCCA RN (PRACTICE ADMINISTRATOR)
(908) 259-8817
Entity
Organization
Contact information
Practice address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 259-8817
(908) 259-8846
Mailing address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 259-8817
(908) 259-8846
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA03429100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148109
—
NJ
Enumeration date
12/04/2006
Last updated
03/12/2008
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