Individual provider · Type 1 NPI

Samuel Theodore Eley, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1790487437 Active

Practice location

15 Parkman Street, Wacc 625
Boston, MA 02114-2621

Call (617) 724-8135 Map

Fax (617) 724-8010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPENDING (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790487437

Samuel Theodore Eley, MD's National Provider Identifier is 1790487437, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 26, 2023.