Individual
SCOTT ELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 ASYLUM AVE, 4320, HARTFORD, CT 06105-1770
(860) 714-5237
(860) 714-8096
Mailing address
1000 ASYLUM AVE, 4320, HARTFORD, CT 06105-1770
(860) 714-5237
(860) 714-8096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
043507
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001435074
—
CT
Enumeration date
08/15/2005
Last updated
03/09/2016
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