Elbaum, Barry D

Elbaum, Barry D is an individual health care provider with primary practice located at 1125 State Route 35 , Ocean NJ 07712-4043. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Elbaum, Barry D can be contacted via phone (732) 531-8700.

Contact Information

Primary practice address
1125 State Route 35 Ocean NJ 07712-4043
Fax: (732) 531-8775
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DI7529 New Jersey

Profile Details

NPI number 1003963737
LBN Legal business name Elbaum, Barry D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Feb 24th, 2011 - about 13 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 1003963737 NPPES
New Jersey MEDICAID 022903

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