Individual
ELIZABETH SGAMBELLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1005 N WASHINGTON AVE, GREEN BROOK, NJ 08812-2698
(732) 968-8900
Mailing address
26 LOCUST DR APT 17, SUMMIT, NJ 07901-4420
(484) 553-3085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1187799
NJ
363A00000X
Physician Assistant
Primary
25MP00666600
NJ
Other
Enumeration date
10/05/2021
Last updated
01/27/2025
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