Individual
DR. JEREMY MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 S CEDAR CREST BLVD, SUITE 410, ALLENTOWN, PA 18103-6369
(610) 969-4370
Mailing address
1240 S CEDAR CREST BLVD, SUITE 410, ALLENTOWN, PA 18103-6369
(610) 969-4370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD448381
PA
Other
Enumeration date
06/21/2010
Last updated
06/03/2013
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