Individual
HARVEY JOE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP,LP
Contact information
Practice address
4710 BETHESDA AVE APT 719, BETHESDA, MD 20814-5258
(203) 641-5340
Mailing address
4710 BETHESDA AVE APT 719, BETHESDA, MD 20814-5258
(571) 302-6818
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
Y0000040
MD
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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