Individual
DR. SCOTT A ELISOFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL GROUND, DIVISION OF GASTROENTEROLOGY, BOSTON, MA 02115-5724
(617) 355-7964
Mailing address
300 LONGWOOD AVE, HUNNEWELL GROUND, DIVISION OF GASTROENTEROLOGY, BOSTON, MA 02115-5724
(617) 355-7964
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
213587
MA
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
213587
MA
Other
Enumeration date
07/12/2006
Last updated
08/24/2015
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