Individual provider · Type 1 NPI
Elmo Canillas, MD
Specialist · Secaucas, NJ
NPI number
1073677555
Active
Practice location
55 Meadowlands Parkway
Secaucas, NJ 07094
Mailing address
3998 Fair Ridge Dr, Suite 300
Fairfax, VA 22033-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA05712700 (NJ) |
| Anesthesiology Physician | 207L00000X | 25MA05712700 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1073677555
Elmo Canillas, MD's National Provider Identifier is 1073677555, issued on Dec 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Secaucas, NJ. The record was last updated on Apr 15, 2015.