Tuppo, Ehab Elias
Tuppo, Ehab Elias is an individual health care provider with primary practice located at 1083 Goffle Rd , Hawthorne NJ 07506-2013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tuppo, Ehab Elias can be contacted via phone (973) 427-2421.Contact Information
Primary practice address
1083 Goffle Rd
Hawthorne NJ 07506-2013
Phone: (973) 427-2421
Fax: (973) 427-6205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 25MB06525200 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB06525200 | New Jersey |
Profile Details
| NPI number | 1053310524 |
|---|---|
| LBN Legal business name | Tuppo, Ehab Elias |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 17th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053310524 | NPPES |
| New Jersey | MEDICAID | 0007412 |
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