Dr Daniel Elisha, MD | |
175 Madison Ave, Mount Holly, NJ 08060-2038 | |
(609) 261-7045 | |
(609) 914-6067 |
Full Name | Dr Daniel Elisha |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 175 Madison Ave, Mount Holly, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619918695 | NPI | - | NPPES |
3468003 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MA04668700 (New Jersey) | Primary |
Entity Name | Emergency Physician Services Of New Jersey,professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831539568 PECOS PAC ID: 1052554177 Enrollment ID: O20130821000326 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Elisha, MD 421 Gatewood Rd, Cherry Hill, NJ 08003-3422 Ph: (856) 428-6593 | Dr Daniel Elisha, MD 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (609) 261-7045 |
Dr. Ali Senatore, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-7045 | |
Dr. Scott Dickson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Emergency Department, Virtua Memorial Hospital, Mount Holly, NJ 08060 Phone: 609-261-7046 Fax: 609-914-6067 | |
Dr. Laura Bertolino, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Dr. Donald Keir, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-4076 Fax: 609-914-6067 | |
Joseph Hassab, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-4076 | |
Dr. Hyunjeong Lee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Frank Joseph Campbell, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-7045 |