Healthcare Provider Details

I. General information

NPI: 1396929295
Provider Name (Legal Business Name): MARIA ELINA LAMOTHE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 ROUTE 22
BRIDGEWATER NJ
08807-2916
US

IV. Provider business mailing address

2100 WESCOTT DR FL 5
FLEMINGTON NJ
08822-4603
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-6990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA08892300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: