Individual
DR. BETH LEAH ELLINGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 HOSPITAL AVENUE, SUITE 302, AMBULATORY CARE CENTER, NORTH ADAMS, MA 01247-2538
(413) 663-8365
(413) 662-2363
Mailing address
77 HOSPITAL AVENUE, SUITE 302, AMBULATORY CARE CENTER, NORTH ADAMS, MA 01247-2538
(413) 663-8365
(413) 662-2363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35077043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230535
—
OH
Enumeration date
04/03/2006
Last updated
11/09/2011
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