Organization
ELLIS MEZ, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS MEZ M.D, (PRESIDENT)
(410) 795-7737
Entity
Organization
Contact information
Practice address
1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
(410) 795-7737
(410) 795-2828
Mailing address
1645 LIBERTY RD, SUITE 204, ELDERSBURG, MD 21784-6521
(410) 795-7737
(410) 795-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277541700
—
MD
Enumeration date
08/10/2006
Last updated
09/15/2008
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