Organization
ELLENHORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PHYPERS (INSURANCE BILLING SPECIALIST)
(617) 491-2070
Entity
Organization
Contact information
Practice address
406 MASSCHUSETTS AVENUE, ARLINGTON, MA 02474
(617) 491-2070
Mailing address
406 MASSCHUSETTS AVENUE, ARLINGTON, MA 02474
(617) 491-2070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
09/04/2018
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