Individual
DR. BARRY RICHARD ELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 JAMES ST, SUITE 100, EDISON, NJ 08820-3902
(732) 906-8501
(732) 906-8502
Mailing address
98 JAMES ST, SUITE 100, EDISON, NJ 08820-3902
(732) 906-8501
(732) 906-8502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA51558
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051969000
AMERIHEALTH
NJ
05
—
0288705
—
NJ
01
—
1K4367
HEALTHNET
NJ
01
—
P882390
OXFORD INSURANCE
NJ
Enumeration date
09/20/2006
Last updated
07/09/2007
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