Provider Demographics
NPI:1437204427
Name:ELOY, OSVALDO A
Entity Type:Individual
Prefix:DR
First Name:OSVALDO
Middle Name:A
Last Name:ELOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2956
Mailing Address - Country:US
Mailing Address - Phone:732-780-2577
Mailing Address - Fax:732-780-2577
Practice Address - Street 1:129 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2956
Practice Address - Country:US
Practice Address - Phone:732-780-2577
Practice Address - Fax:732-780-2577
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery