Matthew Ellam RN

NPI 1083006696 - Registered Nurse - 163W00000X

NPI Details
NPI 1083006696
Gender Male
Enumeration Date 02/19/2015
Last Updated 12/22/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
650 LINCOLN ST
WORCESTER MA, 01605-2060, US
Phone (800) 853-2288
Fax
Business Location
8 LOPEZ ST
CAMBRIDGE MA, 02139-4004, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Massachusetts
License Number RN2295977
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According to our database, Matthew Ellam RN NPI is 1083006696, taxonomy code is 163W00000X and license number is RN2295977, license state is located at Massachusetts. Matthew Ellam RN physically located at 650 Lincoln St, Worcester MA, 01605-2060. NPI Number Matthew Ellam RN has the Individual type.

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1083006696 NPI number is provided on an as is basis without warranty of any kind. 1083006696 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Ellam RN are for informational purposes only.