Jeffrey M Ellenbogen, M.D.
NPI #1003856535 in Boston, Massachusetts
Provider Information
- NPI Number
- 1003856535
- Entity Type
- Individual
- Name
- Jeffrey M Ellenbogen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- M.D.
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Nov 16, 2012
Practice Location
- Address
- 55 FRUIT STREET
- Address 2
- WANG 720 (NEUROLOGY)
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02114
- Phone
- (617) 724-7419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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