Eilenberg, Eli

Eilenberg, Eli is an individual health care provider with primary practice located at 1771 Madison Ave , Lakewood NJ 08701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eilenberg, Eli can be contacted via phone (732) 364-2144.

Contact Information

Primary practice address
1771 Madison Ave Lakewood NJ 08701
Phone: (732) 364-2144
Fax: (732) 364-3559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07518100 New Jersey

Profile Details

NPI number 1376639799
LBN Legal business name Eilenberg, Eli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 21st, 2012 - about 12 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 1376639799 NPPES
New Jersey MEDICAID 0149896

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