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NPI 1649794587

NPI 1649794587 : RAMY ELHELW MD/PHD : NEWARK, NJ

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General NPI Number Information
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    NPI Number           |    1649794587
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    Entity Type          |    Individual 
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    Provider Name        |    RAMY ELHELW MD/PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/02/2017
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    Last Update Date     |    08/02/2017
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Provider Practice Location Address
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    Address Line         |    50 BERGEN ST 
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    City                 |    NEWARK
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    State                |    NJ
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    Zip                  |    07103
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    Country              |    US
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    Telephone            |    862-232-3613
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    Fax                  |    908-276-3666
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Provider Business Mailing Address
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    Address Line         |    318 JORALEMON ST 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-2167
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LA0401X
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    Taxonomy Name        |    Addiction Medicine (Anesthesiology) Physician
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    License Number       |    207LA0401X
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    License Number State |    NJ
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