Individual
OMAR ELBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ5176300
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ5176300
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ5176300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ5176300
NJ
Other
Enumeration date
12/03/2024
Last updated
06/09/2025
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