Individual
DR. JAMES M ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 W 14TH ST, SWANK MEMORY CARE CENTER, GATEWAY BLDG, 5TH FLOOR, WILMINGTON, DE 19801-1013
(302) 320-2637
(844) 634-0254
Mailing address
501 W 14TH ST, SWANK MEMORY CARE CENTER, GATEWAY BLDG 5TH FLOOR, WILMINGTON, DE 19801-1013
(302) 320-2637
(844) 634-0254
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
44908
MA
2084P0805X
Geriatric Psychiatry Physician
44908
MA
2084P0805X
Geriatric Psychiatry Physician
Primary
C-0011443
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164127
—
MA
Enumeration date
06/21/2005
Last updated
05/25/2023
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