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NPI Code Detail

MEDICARE: ELLIOT H COLEMAN MD

MEDICARE: ELLIOT H COLEMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD008897EPA
2207RC0000XCardiovascular Disease Physician25MA02584300NJ

General Provider Information

NPI Number : 1487693990
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIOT H COLEMAN MD
Provider Business Mailing Address
First Line : 200 CAMPBELL DRIVE
Second Line : SUITE 115
City : WILLINGBORO
State : NJ
Zip : 08046-1262
Country : US
Telephone Number : 609-871-7070
Fax Number : 609-835-8427
Provider Business Practice Location Address
First Line : 200 CAMPBELL DRIVE
Second Line : SUITE 115
City : WILLINGBORO
State : NJ
Zip : 08046-1262
Country : US
Telephone Number : 609-871-7070
Fax Number : 609-835-8427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 10/05/2012

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