Individual
AMINA ELKASSIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
487 EDSALL BOULEVARD, FORT LEE, NJ 07024-1942
(201) 224-4300
(201) 224-4397
Mailing address
487 EDSALL BOULEVARD, FORT LEE, NJ 07024-1942
(201) 224-4300
(201) 224-4397
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03781600
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
MA03781
NJ
Other
Enumeration date
06/10/2006
Last updated
04/09/2010
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