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Contact Information

ELAINE MOUSTAFELLOS, MD
155 POLIFLY RD
SUITE 102
HACKENSACK, NJ07601-1758
 Phone: 551-996-8840
 Fax: 201-441-9949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELAINE MOUSTAFELLOS · (Female)

NPI Number 1962449207
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 04/06/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA07249500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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