Individual
YELENA POTYLITSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
702 N BEERS ST STE 1, HOLMDEL, NJ 07733-1510
(732) 862-0200
(732) 867-8820
Mailing address
702 N BEERS ST STE 1, HOLMDEL, NJ 07733-1510
(732) 862-0200
(732) 867-8820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08017300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139980
—
NJ
Enumeration date
03/06/2007
Last updated
12/20/2025
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