Individual
DR. ANDREW ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0008424
DE
208000000X
Pediatrics Physician
MD446913
PA
Other
Enumeration date
08/21/2007
Last updated
08/17/2014
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