Provider Demographics
NPI:1891197356
Name:ELMATARNEH, ANAS M (RCS)
Entity Type:Individual
Prefix:MR
First Name:ANAS
Middle Name:M
Last Name:ELMATARNEH
Suffix:
Gender:M
Credentials:RCS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:639 CROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2435
Mailing Address - Country:US
Mailing Address - Phone:973-626-6307
Mailing Address - Fax:973-928-3761
Practice Address - Street 1:639 CROOKS AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2435
Practice Address - Country:US
Practice Address - Phone:973-626-6307
Practice Address - Fax:973-928-3761
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJC00088537246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist