Individual
ELIZABETH A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 HAWTHORNE AVE, ARLINGTON, MA 02476-7437
(781) 646-4420
Mailing address
26 HAWTHORNE AVE, ARLINGTON, MA 02476-7437
(781) 646-4420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50179
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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