Forrest J Ellis MD

NPI 1609971126 - Ophthalmology - 207W00000X

NPI Details
NPI 1609971126
Gender Male
Enumeration Date 09/13/2006
Last Updated 05/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6231 LEESBURG PIKE
SUITE 608
FALLS CHURCH VA, 22044-2102, US
Phone (703) 534-3900
Fax (703) 536-3729
Business Location
6231 LEESBURG PIKE SUITE 608
FALLS CHURCH VA, 22044-2102, US
Phone (703) 534-3900
Fax (703) 536-3729
Toxanomy
Taxonomy Code 207W00000X
License State Virginia
License Number 0101241653
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According to our database, Forrest J Ellis MD NPI is 1609971126, taxonomy code is 207W00000X and license number is 0101241653, license state is located at Virginia. Forrest J Ellis MD physically located at 6231 Leesburg Pike, Falls Church VA, 22044-2102. NPI Number Forrest J Ellis MD has the Individual type.

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1609971126 NPI number is provided on an as is basis without warranty of any kind. 1609971126 is maintained by the National Plan & Provider Enumeration System. The contents of Forrest J Ellis MD are for informational purposes only.