Ellioth Fishkin MD LLC
Organization Active NPI Hematology & Oncology Physician · Roselle, NJ
NPI 1497823645 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1497823645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 25MA03429100 (NJ)
- Legal business name
- ELLIOTH FISHKIN MD LLC
- Practice address
- 776 E 3Rd Ave
Roselle, NJ 07203-1698 - Phone
- (908) 259-8817
- Fax
- (908) 259-8846
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Karen Cocca, RN
- Title
- Practice Administrator
- Phone
- (908) 259-8817
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | 25MA03429100 | NJ | Yes |
Addresses
Primary practice location
776 E 3Rd Ave
Roselle, NJ 07203-1698
Mailing address
776 E 3Rd Ave
Roselle, NJ 07203-1698
Phone (908) 259-8817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1148109 | Medicaid | NJ |
Other providers in Roselle, NJ
- Christopher Dimakos
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- Dannis Anthony Dublin Jr.
- Yvan Ducheine
- E Gerald Coopersmith DMD
- Datuo Ellis-Wilcox
- Enchanted Impressions
- Ethical Mobile Dna
- Deja L Farley
- Fiona A. Farquharson
All providers in Roselle, NJ · Hematology & Oncology Physician 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 Mar 12, 2008. 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.