Individual
DR. SAMUEL A ELLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 7, SUITE B, BOSTON, MA 02118-2526
(617) 638-8456
(617) 638-8465
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054053A
—
MA
Enumeration date
04/04/2006
Last updated
07/16/2014
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