Individual
DR. ELI FOUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(646) 206-4836
Mailing address
2351 E 4TH ST, BROOKLYN, NY 11223-5425
(646) 206-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB09928100
NJ
207R00000X
Internal Medicine Physician
DO-04850
IA
208M00000X
Hospitalist Physician
DO-04850
IA
Other
Enumeration date
02/01/2016
Last updated
02/29/2024
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