Individual
MARISSA NICOLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 MADISON AVE STE 360, MORRISTOWN, NJ 07960-7390
(973) 971-7830
(973) 267-5060
Mailing address
PO BOX 416457, BOSTON, MA 02241-3947
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
25MP00769000
NJ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
01/09/2024
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