Ellman, Barry Richard

Ellman, Barry Richard is an sole proprietor health care provider with primary practice located at 98 James St Suite 100, Edison NJ 08820-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellman, Barry Richard can be contacted via phone (732) 906-8501.

Contact Information

Primary practice address
98 James St Suite 100 Edison NJ 08820-3902
Fax: (732) 906-8502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA51558 New Jersey

Profile Details

NPI number 1578661351
LBN Legal business name Ellman, Barry Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1578661351 NPPES
New Jersey Other 0051969000 AMERIHEALTH
New Jersey MEDICAID 0288705 AMERIHEALTH
New Jersey Other 1K4367 AMERIHEALTH
New Jersey Other P882390 AMERIHEALTH

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