Irene Ellison

NPI 1083697916 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1083697916
Gender Female
Enumeration Date 11/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
471 BARNUM AVE
BRIDGEPORT CT, 06608-2409, US
Phone (203) 333-6864
Fax (203) 333-6864
Business Location
471 BARNUM AVE
BRIDGEPORT CT, 06608-2409, US
Phone (203) 333-6864
Fax (203) 333-6864
Toxanomy
Taxonomy Code 124Q00000X
License State
License Number
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According to our database, Irene Ellison NPI is 1083697916, taxonomy code is 124Q00000X Irene Ellison physically located at 471 Barnum Ave, Bridgeport CT, 06608-2409. NPI Number Irene Ellison has the Individual type.

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1083697916 NPI number is provided on an as is basis without warranty of any kind. 1083697916 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Ellison are for informational purposes only.