Zackai, Elaine H

Zackai, Elaine H is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Genetics, Philadelphia PA 19104-4319. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Zackai, Elaine H can be contacted via phone (215) 590-2920.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Genetics Philadelphia PA 19104-4319
Fax: (215) 590-3298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X MD014103E Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD014103E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD014103E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07256800 New Jersey
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X 25MA07256800 New Jersey
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 25MA07256800 New Jersey

Profile Details

NPI number 1811904881
LBN Legal business name Zackai, Elaine H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Oct 27th, 2014 - about 10 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 1811904881 NPPES
New Jersey MEDICAID 0328600
New Jersey MEDICAID 000665287

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