Individual
THOMAS J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS007020L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS007020L
PA
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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