Doctor Name: | DR. ELISA T DULAY |
NPI Number: | 1225249402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 25MA03465900 |
Business Practice Address: | 282 South Ave Suite 204 Fanwood, NJ - 070231372 |
Business Phone Number: | 9088897999 |
Business Fax Number: | 9088896719 |
Mailing Address: | 282 South Ave, Suite 204 FANWOOD |
State: | NJ |
Postal Code: | 070231372 |
Phone Number: | 9088897999 |
Fax Number: | 9088896719 |
NPI Enumeration Date: | 05/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA03465900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |