Nicholas Ellyn, M.d., P.c.
NPI #1306006614 in Alexandria, Virginia
Provider Information
- NPI Number
- 1306006614
- Entity Type
- Organization
- Organization Name
- Nicholas Ellyn, M.d., P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 10, 2008
- Last Updated
- Oct 27, 2008
Practice Location
- Address
- 1707 OSAGE ST
- Address 2
- SUITE 205
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22302-2607
- Phone
- (703) 578-0100
Authorized Official
- Name
- DR. NICHOLAS ELLYN, M.D.
- Title
- PHYSICIAN
- Phone
- (703) 578-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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