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NPI Code Detail

MEDICARE: NAZIR ELABIDIN M.D.

MEDICARE:   NAZIR  ELABIDIN  M.D.
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
12085R0202XDiagnostic Radiology Physician25MA03445300NJ

General Provider Information

NPI Number : 1205823192
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZIR ELABIDIN M.D.
Provider Business Mailing Address
First Line : 2501 OREGON PIKE
Second Line : SUITE 101
City : LANCASTER
State : PA
Zip : 17601-4890
Country : US
Telephone Number : 717-293-3223
Fax Number : 717-390-2455
Provider Business Practice Location Address
First Line : 99 HIGHWAY 37
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number : 732-557-8151
Fax Number : 732-557-2064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/25/2015

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Directions to “ NAZIR ELABIDIN M.D.” Practice Location

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