Individual
KENT ROBERT ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1841 WOODFIELD RD, MARTINSVILLE, NJ 08836-2344
(732) 868-0545
Mailing address
1841 WOODFIELD RD, MARTINSVILLE, NJ 08836-2344
(732) 868-0545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04633700
NJ
Other
Enumeration date
07/10/2006
Last updated
07/20/2015
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