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
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 226436 (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.