Provider Demographics
NPI:1750054474
Name:ELABED, AREEG ELAYAN
Entity Type:Individual
Prefix:
First Name:AREEG
Middle Name:ELAYAN
Last Name:ELABED
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 1:1078 WHITE HORSE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1425
Mailing Address - Country:US
Mailing Address - Phone:609-581-9100
Mailing Address - Fax:
Practice Address - Street 1:1078 WHITE HORSE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1425
Practice Address - Country:US
Practice Address - Phone:609-581-9100
Practice Address - Fax:609-581-7588
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061374363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant