Elbasty, Azza

Elbasty, Azza is an sole proprietor health care provider with primary practice located at 100 Commons Way Ste 130, Holmdel NJ 07733-2934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Elbasty, Azza can be contacted via phone (732) 615-0700.

Contact Information

Primary practice address
100 Commons Way Ste 130 Holmdel NJ 07733-2934
Fax: (732) 615-9152
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA058872 New Jersey

Profile Details

NPI number 1588732614
LBN Legal business name Elbasty, Azza
Credentials MD, FAAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588732614 NPPES
New Jersey MEDICAID 6205305

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