De Priori, Elis M

De Priori, Elis M is an individual health care provider with primary practice located at 215 Laurel Heights Dr , Bridgeton NJ 08302-3635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. De Priori, Elis M can be contacted via phone (856) 455-6002.

Contact Information

Primary practice address
215 Laurel Heights Dr Bridgeton NJ 08302-3635
Fax: (856) 455-6106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA0046556 New Jersey

Profile Details

NPI number 1598712861
LBN Legal business name De Priori, Elis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated May 1st, 2011 - about 14 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 1598712861 NPPES
Other 0004123535 AETNA
Other 0K9939 AETNA
Other 1155119 AETNA
MEDICAID 2332001 AETNA

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