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Individual

JOSEPH HARRY ELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10710 MIDLOTHIAN TURNPIKE, STE 200, RICHMOND, VA 23235-4759
(804) 897-2100
(804) 897-9074
Mailing address
10710 MIDLOTHIAN TURNPIKE, STE 200, RICHMOND, VA 23235-4759
(804) 897-2100
(804) 897-9074

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101031236
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6290531
VA
Enumeration date
02/13/2006
Last updated
03/02/2010
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