Philip S. Ellerin, MD,pc
Dermatology in Burlington, MA. Organization (NPI-2).
NPI number1154420008
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154420008
- Entity type
- Organization (NPI-2)
- Legal business name
- Philip S. Ellerin, MD,pc
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
172 Cambridge StSuite 204
Burlington, MA 01803-2984
Phone 781-272-7022 · Fax 781-272-8786
Mailing address
8 Willis LnLynnfield, MA 01940-1006
Phone 781-334-4168
Authorized official
Philip S Ellerin
Owner/Physician
7812727022
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