George G Ellis Jr Md Inc

NPI 1073708251 - Internal Medicine - 207R00000X

NPI Details
NPI 1073708251
Enumeration Date 09/11/2007
Last Updated 02/28/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORRAINE LORRAINE
Position OFFICE MANAGER
Phone (330) 965-0832
Fax (330) 965-0155
Practice Location
910 BOARDMAN CANFIELD RD
BOARDMAN OH, 44512-4240, US
Phone (330) 965-0832
Fax (330) 965-0155
Business Location
910 BOARDMAN CANFIELD RD
BOARDMAN OH, 44512-4240, US
Phone (330) 965-0832
Fax (330) 965-0155
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 35060641E
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According to our database, George G Ellis Jr Md Inc NPI is 1073708251, taxonomy code is 207R00000X and license number is 35060641E, license state is located at Ohio. George G Ellis Jr Md Inc physically located at 910 Boardman Canfield Rd, Boardman OH, 44512-4240. NPI Number 1033115704 has the healthcare provider type.

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1073708251 NPI number is provided on an as is basis without warranty of any kind. 1073708251 is maintained by the National Plan & Provider Enumeration System. The contents of George G Ellis Jr Md Inc are for informational purposes only.