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Michael Elleman
NPI 1790142719 · on the registry since 2016
Practice
- Address
- 410 Villanova Rd
Glassboro, NJ 08028 - Phone
- (765) 744-1623
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey