Amr A El Ellae
Individual provider Active NPI Medical Technologist · Salem, NJ
NPI 1316335409 · NPPES record last updated Dec 26, 2014
Key facts
- NPI
- 1316335409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Technologist 246QM0706X
- License
- 241316 (DE)
- Practice address
- 310 Woodstown Road
Salem, NJ 08079-2080 - Phone
- (856) 935-1000
- NPI assigned
- Dec 26, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241316 | DE | MD | Medical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 241316 | DE | Yes |
Addresses
Primary practice location
310 Woodstown Road
Salem, NJ 08079-2080
Mailing address
310 Wood Stown Rd
Salem, NJ 08079
Phone (856) 935-1000
Other providers in Salem, NJ
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- Edward W Cipolla DO PA
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- David Welford Ellis
- Emergency Medicine Associates Company, LLC
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- Maria Evangelista
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All providers in Salem, NJ · Medical Technologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.