Individual provider · Type 1 NPI
Danielle Imani Ellis, MD
Surgery Physician · Medford, MA
Practice location
75 Riverside Ave Ste 4
Medford, MA 02155-4600
Mailing address
PO Box 24300
New York, NY 10087-4300
Other practice locations
- 55 Fruit St, Boston, MA 02114-2621 · (617) 726-2803
- 2014 Washington St, Newton, MA 02462-1607 · (617) 726-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | 295571 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
Another provider at this address
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About NPI 1740817469
Danielle Imani Ellis, MD's National Provider Identifier is 1740817469, issued on Mar 24, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Medford, MA. The record was last updated on Aug 26, 2026.