Healthcare Provider Details

I. General information

NPI: 1730151416
Provider Name (Legal Business Name): ELIAS NEMEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 FRIES MILL RD SUITE N1
TURNERSVILLE NJ
08012-2015
US

IV. Provider business mailing address

227 LAUREL RD
ECHELON NJ
08043-0536
US

V. Phone/Fax

Practice location:
  • Phone: 856-875-0505
  • Fax: 856-875-9556
Mailing address:
  • Phone: 856-669-6050
  • Fax: 856-651-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA051544
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMA51544
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: