Elena Dragun Md | |
469 Morris Ave 1st Floor Elizabeth NJ 07208-1967 | |
(908) 351-3535 | |
(908) 351-0161 |
Full Name | Elena Dragun Md |
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Speciality | Internal Medicine |
Location | 469 Morris Ave 1st Floor, Elizabeth, New Jersey |
Authorized Official Name and Position | Elena Dragun (MD) |
Authorized Official Contact | 9083513535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elena Dragun Md 469 Morris Ave 1st Floor Elizabeth NJ 07208-1967 Ph: (908) 351-3535 | Elena Dragun Md 469 Morris Ave 1st Floor Elizabeth NJ 07208-1967 Ph: (908) 351-3535 |
NPI Number | 1609022599 |
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Provider Enumeration Date | 08/12/2008 |
Last Update Date | 08/12/2008 |
Medicare PECOS PAC ID | 1658546619 |
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Medicare Enrollment ID | O20111202000691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609022599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 073645 (New Jersey) | Primary |
Provider Name | Elena Dragun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467413583 PECOS PAC ID: 6305870858 Enrollment ID: I20050923000251 |
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