Individual provider · NPI-1

Ellen H Zhan, MD

Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine · West Roxbury, MA

NPI number1720090228
StatusActive
Last updated in NPPESAug 13, 2012

Details

NPI
1720090228
Entity type
Individual (NPI-1)
Name
Ellen H Zhan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2006
Last updated
Aug 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine208361MAYes
204C00000X Neuromusculoskeletal Medicine, Sports Medicine208361MA

Practice location

1400 Vfw Pkwy
Sci Service
West Roxbury, MA 02132-4927

Phone 857-203-6574 · Fax 857-203-5553

Mailing address

11 Lyon Rd
Chestnut Hill
Brookline, MA 02467-2674

Phone 774-826-1807 · Fax 774-826-2460

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