Individual
CAROLYN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 S AIKEN AVE, AIKEN MEDICAL BUILDING, PITTSBURGH, PA 15232-1521
(412) 687-6064
Mailing address
532 S AIKEN AVE, AIKEN MEDICAL BUILDING, PITTSBURGH, PA 15232-1521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD054383L
PA
Other
Enumeration date
02/08/2006
Last updated
03/25/2021
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