Individual
DR. MICHAEL JOSEPH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4057 ASBURY AVE STE 21, TINTON FALLS, NJ 07753-7700
(848) 217-2662
Mailing address
4057 ASBURY AVE STE 21, TINTON FALLS, NJ 07753-7700
(848) 217-2662
(516) 531-8869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10268400
NJ
208M00000X
Hospitalist Physician
11671
SD
Other
Enumeration date
06/30/2015
Last updated
05/07/2025
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