Tuppo, Ehab Elias

Tuppo, Ehab Elias is an individual health care provider with primary practice located at 1083 Goffle Rd , Hawthorne NJ 07506-2013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tuppo, Ehab Elias can be contacted via phone (973) 427-2421.

Contact Information

Primary practice address
1083 Goffle Rd Hawthorne NJ 07506-2013
Fax: (973) 427-6205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MB06525200 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB06525200 New Jersey

Profile Details

NPI number 1053310524
LBN Legal business name Tuppo, Ehab Elias
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 17th, 2021 - about 3 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 1053310524 NPPES
New Jersey MEDICAID 0007412

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