Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MB10836400 | NJ |
N | 207X00000X | Orthopaedic Surgeon | OS019943 | PA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MB10836400 | NJ |
NPI | 1285052225 |
---|---|
Provider Name | Justin Elkrief |
First Address | Freehold, NJ 07728-7904 |
Second Address | Freehold, NJ 07728-7904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2014 |
Last Update Date | 08/03/2021 |