Individual
DR. MICHELLE LYNN ELLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER DR, STRATFORD, NJ 08084-1500
(856) 566-6708
Mailing address
1 MEDICAL CENTER DRIVE, UMDNJ-SOM, STRATFORD, NJ 08084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB09015700
NJ
Other
Enumeration date
08/13/2009
Last updated
09/05/2012
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