MEDICARE: DR. ELIZABETH ESTEROV 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
1	208000000X	Pediatrics Physician	25MA07204700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275535858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ESTEROV MD

Provider Business Mailing Address
First Line	:	2206 ROUTE 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4805
Country	:	US
Telephone Number	:	732-422-1420
Fax Number	:	732-422-1439

Provider Business Practice Location Address
First Line	:	2206 ROUTE 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4805
Country	:	US
Telephone Number	:	732-422-1420
Fax Number	:	732-422-1439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. ELIZABETH ESTEROV MD” Practice Location

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