Individual
JOHN M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 EAST STREET, VALLEY REGIONAL MEDICAL SERVICES, METHUEN, MA 01844
(978) 688-0773
(978) 681-6173
Mailing address
77 WARREN ST, RM 339, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
58546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032701
—
MA
Enumeration date
03/14/2006
Last updated
02/23/2009
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