Individual
DR. PAUL S ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1067 WELLINGTON RD, JENKINTOWN, PA 19046-3837
(215) 576-6266
(215) 576-1763
Mailing address
1067 WELLINGTON RD, JENKINTOWN, PA 19046-3837
(215) 576-6266
(215) 576-1763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD023872E
PA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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