Individual
BASIL ELAMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 HARRISON AVE, JERSEY CITY, NJ 07304-1906
(201) 819-8385
Mailing address
211 E SADDLE RIVER RD, SADDLE RIVER, NJ 07458-2633
(201) 819-8385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11975900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
09/07/2023
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