Provider Demographics
NPI:1932537529
Name:CLAYTON, ELIZABETH NOELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:NOELLE
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:53 SOUTH LAUREL STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302
Mailing Address - Country:US
Mailing Address - Phone:856-451-4700
Mailing Address - Fax:856-575-0818
Practice Address - Street 1:484 SOUTH BREWSTER ROAD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-451-4700
Practice Address - Fax:856-696-2561
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10061800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology