Individual
DR. AMANDA LEIGH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-9264
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-9264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
263615
MA
Other
Enumeration date
04/12/2011
Last updated
07/06/2022
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