Provider Demographics
NPI:1457394603
Name:AMES, ELLIOT L (DO)
Entity type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:L
Last Name:AMES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1878 ROUTE 70 E
Mailing Address - Street 2:PO BOX 4474
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2090
Mailing Address - Country:US
Mailing Address - Phone:856-751-6464
Mailing Address - Fax:856-751-1719
Practice Address - Street 1:1878 ROUTE 70 E
Practice Address - Street 2:SUITE 5
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2090
Practice Address - Country:US
Practice Address - Phone:856-751-6464
Practice Address - Fax:856-751-1719
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03032300207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ34722OtherAETNA
NJ0663039000OtherPERSONAL CHOICE
NJ0392917OtherCIGNA
NJ0663039000OtherAMERIHEALTH
NJ0663039000OtherKEYSTONE
NJ0663039000OtherINDEPENDENCE BLUE CROSS BLUE SHIELD
NJ222620270OtherHORIZON BLUE CROSS BLUE SHIELD OF NJ
NJ0663039000OtherINDEPENDENCE BLUE CROSS BLUE SHIELD
NJ056439Medicare PIN
NJ056439Medicare Oscar/Certification