Individual provider · Type 1 NPI

Jeffrey M. Ellenbogen, MD

Neurology Physician · Boston, MA

NPI number 1003856535 Active

Practice location

55 Fruit Street, Wang 720 (neurology)
Boston, MA 02114

Mailing address

60 White Oak Rd
Newton, MA 02468-1323

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X226436 (MA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1003856535

Jeffrey M. Ellenbogen, MD's National Provider Identifier is 1003856535, issued on Jun 6, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Boston, MA. The record was last updated on Nov 16, 2012.