Individual
STEPHEN CRAIG ELLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MAIN ST, NASHUA, NH 03064-2716
(603) 883-0005
Mailing address
115 PAGE RD, BEDFORD, MA 01730-1817
(603) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73606
MA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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