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NPI Code Detail

MEDICARE: DR. ELENA VOLFSON MD,MPH

MEDICARE:  DR. ELENA  VOLFSON  MD,MPH
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
12084P0800XPsychiatry Physician50386AZ
22084P0800XPsychiatry Physician25MA07942000NJ

General Provider Information

NPI Number : 1497710404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELENA VOLFSON MD,MPH
Provider Business Mailing Address
First Line : 26110 CHERRY BLOSSOM CT
Second Line :
City : LAWRENCEVILLE
State : NJ
Zip : 08648-1281
Country : US
Telephone Number : 609-799-8545
Fax Number :
Provider Business Practice Location Address
First Line : 317 GEORGE ST
Second Line : SUITE 105
City : NEW BRUNSWICK
State : NJ
Zip : 08901-2008
Country : US
Telephone Number : 732-235-4341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 11/09/2021

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