MEDICARE: DR. ROBERT ELSWIT 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
1	2084P0800X	Psychiatry Physician	MA044154	NJ

General Provider Information

NPI Number	:	1811968506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ELSWIT M.D.

Provider Business Mailing Address
First Line	:	6I DORADO DR
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6003
Country	:	US
Telephone Number	:	973-538-1132
Fax Number	:	973-625-7128

Provider Business Practice Location Address
First Line	:	50 MORRIS AVE
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-1735
Country	:	US
Telephone Number	:	973-625-7009
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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