Samuel A Ellias M.D.

NPI 1083676118 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1083676118
Gender Male
Enumeration Date 04/04/2006
Last Updated 07/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
725 ALBANY ST
SHAPIRO 7, SUITE B
BOSTON MA, 02118-2526, US
Phone (617) 638-8456
Fax (617) 638-8465
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Massachusetts
License Number 56420
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According to our database, Dr. Samuel A Ellias M.D. NPI is 1083676118, taxonomy code is 2084N0400X and license number is 56420, license state is located at Massachusetts. Samuel A Ellias M.D. physically located at 725 Albany St, Boston MA, 02118-2526. NPI Number Samuel A Ellias M.D. has the Individual type.

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1083676118 NPI number is provided on an as is basis without warranty of any kind. 1083676118 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel A Ellias M.D. are for informational purposes only.