Organization
CONVENIENT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA SELINA (MEDICAL DOCTOR)
(609) 404-0121
Entity
Organization
Contact information
Practice address
48 S NEW YORK RD SUITE B-3, SMITHVILLE, NJ 08205
(609) 404-0121
Mailing address
48 S NEW YORK RD SUITE B-3, SMITHVILLE, NJ 08205
(609) 404-0121
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25MA08815700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273265712
TAX ID
NJ
Enumeration date
05/28/2015
Last updated
05/28/2015
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