Individual
DR. JASON CHRISTOPHER NELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST FL 6, BALTIMORE, MD 21287-0006
(410) 955-1686
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-4380
(651) 254-8558
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
67177
MN
207Y00000X
Otolaryngology Physician
Primary
D91088
MD
207Y00000X
Otolaryngology Physician
MD049137
DC
Other
Enumeration date
06/06/2012
Last updated
07/12/2023
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