Individual
DR. RICHARD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 BIRCH HILL RD, WESTON, CT 06883-1710
(203) 227-3929
(203) 227-2947
Mailing address
134 BIRCH HILL RD, WESTON, CT 06883-1710
(203) 227-3929
(203) 227-2947
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
037807
CT
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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