Individual
STEPHEN JOHN ELLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-5500
Mailing address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
286634
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
96337
GA
Other
Enumeration date
03/22/2018
Last updated
08/31/2023
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