Individual
ELLIOT JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 WESTCOTT DRIVE, FLEMINGTON, NJ 08822
(888) 988-3404
(856) 616-1919
Mailing address
PO BOX 5075, CHERRY HILL, NJ 08034-5075
(856) 616-8100
(856) 616-7919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA42400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398608
—
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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