Eltaki, Madiha A

Eltaki, Madiha A is an individual health care provider with primary practice located at 204 Grove Ave , Cedar Grove NJ 07009-1436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is her primary health care specialty. Eltaki, Madiha A can be contacted via phone (973) 571-2833.

Contact Information

Primary practice address
204 Grove Ave Cedar Grove NJ 07009-1436
Phone: (973) 571-2833
Fax: (973) 571-2899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X MA35788 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA35788 New Jersey

Profile Details

NPI number 1588628283
LBN Legal business name Eltaki, Madiha A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 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 1588628283 NPPES
New Jersey MEDICAID 6315801

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