Individual
MATTHEW S ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YPB, 3RD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-7411
(203) 785-4194
Mailing address
PO BOX 208093, NEW HAVEN, CT 06520-8093
(203) 785-3830
(203) 785-2830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031869
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318692
—
CT
Enumeration date
11/21/2005
Last updated
01/13/2011
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