Individual
ELLI ANN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 HARRISON AVE # ACC-3, BOSTON, MA 02118-4001
(617) 414-4020
Mailing address
850 HARRISON AVE # ACC-3, BOSTON, MA 02118-4001
(617) 414-4020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1023075
MA
Other
Enumeration date
03/24/2021
Last updated
08/26/2025
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