Elliston, Jason Taiwo

Elliston, Jason Taiwo is an individual health care provider with primary practice located at 935 Garfield Ave , Jersey City NJ 07304-2731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elliston, Jason Taiwo can be contacted via phone (201) 478-5824.

Contact Information

Primary practice address
935 Garfield Ave Jersey City NJ 07304-2731
Phone: (201) 478-5824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06380500 New Jersey

Profile Details

NPI number 1669520375
LBN Legal business name Elliston, Jason Taiwo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1669520375 NPPES
New Jersey MEDICAID 0038326

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