Organization
ELAN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANA PEEKE (BILLING MANAGER)
(201) 522-3205
Entity
Organization
Contact information
Practice address
79 HUDSON ST STE 302A, HOBOKEN, NJ 07030-5641
(201) 653-7450
Mailing address
241 PROSPECT AVE, ORADELL, NJ 07649-2316
(201) 653-7450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06653300
NJ
Other
Enumeration date
12/09/2008
Last updated
01/05/2009
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