Ellman, Leonard Lloyd

Ellman, Leonard Lloyd is an individual health care provider with primary practice located at 15 Parkman St Wac 516, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ellman, Leonard Lloyd can be contacted via phone (617) 726-3448.

Contact Information

Primary practice address
15 Parkman St Wac 516 Boston MA 02114-3117
Fax: (617) 724-3480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30751 Massachusetts
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 30751 Massachusetts

Profile Details

NPI number 1679564322
LBN Legal business name Ellman, Leonard Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679564322 NPPES
Massachusetts Other M08156 BCBS MA
Massachusetts MEDICAID 0176451 BCBS MA
Massachusetts Other 706992 BCBS MA

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