Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 25MB08770900 | NJ |
NPI | 1013228386 |
---|---|
Provider Name | Dr. Kevin Mcelroy |
First Address | Ramsey, NJ 07446-2558 |
Second Address | Ramsey, NJ 07446-2558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 20/05/2016 |