| Doctor Name: | DR. NOEET ELITSUR |
| NPI Number: | 1275793507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2950 College Dr Suite #2b - S. Jersey Healthcare Bldg Vineland, NJ - 083606933 |
| Business Phone Number: | 8563098508 |
| Business Fax Number: | 8563092714 |
| Mailing Address: | Po Box 191, Provider Enrollment Department ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 9046975062 |
| Fax Number: | 3026514945 |
| NPI Enumeration Date: | 06/10/2008 |
| NPI Last Update Date: | 07/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |