Individual
DR. EDWARD ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
174 CONCORD ST STE 250, PETERBOROUGH, NH 03458-1222
(603) 722-8244
Mailing address
174 CONCORD ST STE 250, PETERBOROUGH, NH 03458-1222
(603) 722-8244
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
113
NH
Other
Enumeration date
10/03/2014
Last updated
12/01/2014
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