Individual
MARLENA ELAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 ROUTE 3, CLIFTON, NJ 07012-2343
(973) 450-1991
(973) 528-8009
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012713
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00701700
NJ
Other
Enumeration date
08/26/2008
Last updated
11/13/2024
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