Individual
DR. NEIL M. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0140
(570) 271-7383
(570) 271-7384
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD022682E
PA
207RX0202X
Medical Oncology Physician
MD022682E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000689921
—
PA
Enumeration date
03/02/2006
Last updated
04/11/2011
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