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NPI Code Detail

MEDICARE: JORDAN BENJAMIN ELMAN M.D.

MEDICARE:   JORDAN BENJAMIN ELMAN  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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology PhysicianME154686FL

General Provider Information

NPI Number : 1326492893
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN BENJAMIN ELMAN M.D.
Provider Business Mailing Address
First Line : 299 E CEDAR ST
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-4218
Country : US
Telephone Number : 973-885-5829
Fax Number :
Provider Business Practice Location Address
First Line : 3001 CORAL HILLS DR STE 250
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4175
Country : US
Telephone Number : 954-721-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 07/27/2022

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Directions to “ JORDAN BENJAMIN ELMAN M.D.” Practice Location

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