Individual
JULIE E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10085 RED RUN BLVD, SUITE 307-310, OWINGS MILLS, MD 21117-4836
(410) 363-1843
(410) 363-2541
Mailing address
10085 RED RUN BLVD, SUITE 307-310, OWINGS MILLS, MD 21117-4836
(410) 363-1843
(410) 363-2541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0066534
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0066534
MD LICENSE
MD
Enumeration date
08/28/2007
Last updated
08/28/2007
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