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NPI Code Detail

MEDICARE: SITALAKSHMI ELANGO MD

MEDICARE: SITALAKSHMI ELANGO 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
1207L00000XAnesthesiology Physician25MA06367400NJ

General Provider Information

NPI Number : 1821095340
Entity Type Code : Individual
Provider Name (Legal Business Name) : SITALAKSHMI ELANGO MD
Provider Business Mailing Address
First Line : PO BOX 1637
Second Line :
City : ELIZABETH
State : NJ
Zip : 07207-1637
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 300 2ND AVE
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6303
Country : US
Telephone Number : 201-804-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/07/2011

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