Individual
DR. DANIEL ELISHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-7045
(609) 914-6067
Mailing address
421 GATEWOOD RD, CHERRY HILL, NJ 08003-3422
(856) 428-6593
(856) 428-0035
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04668700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3468003
—
NJ
Enumeration date
06/09/2006
Last updated
07/08/2007
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