Individual
GUILLERMO CARLOS ELKOUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 DORAL DR, CHERRY HILL, NJ 08003-3319
(856) 751-2380
Mailing address
433 DORAL DR, CHERRY HILL, NJ 08003-3319
(856) 912-1040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA033408
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310104
—
NJ
Enumeration date
07/19/2005
Last updated
06/10/2021
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