Individual
ELIS M DE PRIORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-6002
(856) 455-6106
Mailing address
215 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-6002
(856) 455-6106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA0046556
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004123535
AETNA
—
01
—
0K9939
HEALTHNET
—
01
—
1155119
HORIZON
—
05
—
2332001
—
NJ
Enumeration date
05/30/2006
Last updated
03/27/2025
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