Organization
PHILIP S. ELLERIN, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP S ELLERIN MD (OWNER/PHYSICIAN)
(781) 272-7022
Entity
Organization
Contact information
Practice address
172 CAMBRIDGE ST, SUITE 204, BURLINGTON, MA 01803-2984
(781) 272-7022
(781) 272-8786
Mailing address
8 WILLIS LN, LYNNFIELD, MA 01940-1006
(781) 334-4168
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709176
GROUP TUFTS PROV #
MA
Enumeration date
09/21/2006
Last updated
08/22/2020
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