Individual
JONATHAN ROBBINS ELLIS
Active
Individual
JONATHAN ROBBINS ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
73826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073826
TAHP
MA
01
—
64909
HPHC
MA
01
—
CX9930
MEDICARE PTAN
MA
01
—
J11766
BC/BS
MA
Enumeration date
05/25/2006
Last updated
03/10/2011
Update your record
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