Individual
JARED ELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 WALNUT ST, SUITE 1516, PHILADELPHIA, PA 19102-2944
(215) 206-2746
Mailing address
1601 WALNUT ST, SUITE 1516, PHILADELPHIA, PA 19102-2944
(215) 206-2746
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD071901L
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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