Individual
ELAINE MOUSTAFELLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 POLIFLY RD, SUITE 102, HACKENSACK, NJ 07601-1758
(551) 996-8840
(201) 441-9949
Mailing address
155 POLIFLY RD, SUITE 102, HACKENSACK, NJ 07601-1758
(551) 996-8840
(201) 441-9949
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA07249500
NJ
Other
Enumeration date
06/02/2006
Last updated
04/06/2017
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