Coburn, Elliot Seth

Coburn, Elliot Seth is an individual health care provider with primary practice located at 52 1St St , Hackensack NJ 07601-2044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Coburn, Elliot Seth can be contacted via phone (201) 488-3003.

Contact Information

Primary practice address
52 1St St Hackensack NJ 07601-2044
Phone: (201) 488-3003
Fax: (201) 488-6911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA11065800 New Jersey

Profile Details

NPI number 1326482837
LBN Legal business name Coburn, Elliot Seth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2013
Last updated Aug 9th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326482837 NPPES
New Jersey MEDICAID 0813117

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