MEDICARE: MR. ELLIOT CHARLES SEMET 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	207X00000X	Orthopaedic Surgery Physician	MA59450	NJ

General Provider Information

NPI Number	:	1710951280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ELLIOT CHARLES SEMET MD

Provider Business Mailing Address
First Line	:	2446 CHURCH RD
Second Line	:	STE 2A
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-279-1100
Fax Number	:	732-279-1130

Provider Business Practice Location Address
First Line	:	2446 CHURCH RD
Second Line	:	STE 2A
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-279-1100
Fax Number	:	732-279-1130

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/05/2010

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