Individual
DR. MARK PAUL ELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS017798L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0531229
—
PA
01
—
120876
MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/31/2011
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