Provider Demographics
NPI:1386462711
Name:ELHAWARY, HEBA
Entity type:Individual
Prefix:
First Name:HEBA
Middle Name:
Last Name:ELHAWARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 RAHWAY AVE
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-2076
Mailing Address - Country:US
Mailing Address - Phone:732-215-7775
Mailing Address - Fax:732-215-7776
Practice Address - Street 1:1032 RAHWAY AVE
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-2076
Practice Address - Country:US
Practice Address - Phone:732-215-7775
Practice Address - Fax:732-215-7776
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0389300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health