Organization · Type 2 NPI
Thomas R. Ellenberger, JR MD PC
Medical Specialty Clinic/Center · Johnstown, PA
Practice location
321 Main St Ste 5D
Johnstown, PA 15901-1632
Fax (814) 535-7079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | MD018414E (PA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1942325592
Thomas R. Ellenberger, JR MD PC's National Provider Identifier is 1942325592, issued on Mar 20, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Johnstown, PA. The record was last updated on Sep 27, 2007.