Ellenbogen, Mark J

Ellenbogen, Mark J is an individual health care provider with primary practice located at 850 Boylston St , Chestnut Hill MA 02467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ellenbogen, Mark J can be contacted via phone (617) 732-9900.

Contact Information

Primary practice address
850 Boylston St Chestnut Hill MA 02467
Phone: (617) 732-9900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36631 Massachusetts

Profile Details

NPI number 1902831001
LBN Legal business name Ellenbogen, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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