Canillas, Elmo

Canillas, Elmo is an individual health care provider with primary practice located at 55 Meadowlands Parkway , Secaucas NJ 07094. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Other Service Providers / Specialist is his primary health care specialty. Canillas, Elmo can be contacted via phone (201) 819-2099.

Contact Information

Primary practice address
55 Meadowlands Parkway Secaucas NJ 07094
Phone: (201) 819-2099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA05712700 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA05712700 New Jersey

Profile Details

NPI number 1073677555
LBN Legal business name Canillas, Elmo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 15th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073677555 NPPES
New Jersey MEDICAID 5102502
New Jersey Other P01281145

Popular Providers