Individual
DR. GEORGE DAVID ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(833) 351-8255
Mailing address
525 ROUTE 73 N, MARLTON, NJ 08053-3422
(856) 396-9526
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05557900
NJ
2084P0800X
Psychiatry Physician
315788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3464709
—
NJ
Enumeration date
11/21/2006
Last updated
04/11/2025
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