Individual provider · Type 1 NPI

David Jason Ellenbogen, DPM

Foot & Ankle Surgery Podiatrist · Charlotte, NC

NPI number 1831222090 Active

Practice location

10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910

Fax (704) 625-9484

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X615 (NC)
Foot Surgery Podiatrist 213ES0131X615 (NC)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X615 (NC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1831222090

David Jason Ellenbogen, DPM's National Provider Identifier is 1831222090, issued on Mar 14, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Charlotte, NC. The record was last updated on Feb 14, 2023.