Nicholas Ellyn, M.d., P.c.

NPI #1861715435 in Alexandria, Virginia

Provider Information

NPI Number: 1861715435
Entity Type: Organization
Organization Name: Nicholas Ellyn, M.d., P.c.
Primary Specialty: Specialist
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 4660 KENMORE AVE
Address 2: SUITE 416
City: Alexandria
State: Virginia
ZIP Code: 22304-1313
Phone: (703) 751-0700

Authorized Official

Name: DR. NICHOLAS ELLYN, M.D.
Title: PHYSICIAN
Phone: (703) 578-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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