Provider Demographics
NPI:1689279770
Name:ELIA, SARAH-BELLE
Entity Type:Individual
Prefix:
First Name:SARAH-BELLE
Middle Name:
Last Name:ELIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BERGEN TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5016
Mailing Address - Country:US
Mailing Address - Phone:201-226-0105
Mailing Address - Fax:
Practice Address - Street 1:1000 BERGEN TOWN CTR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5016
Practice Address - Country:US
Practice Address - Phone:201-226-0105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04143100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist