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Contact Information

JOHN M ELLIS, MD
70 EAST STREET
VALLEY REGIONAL MEDICAL SERVICES
METHUEN, MA01844
 Phone: 978-688-0773
 Fax: 978-681-6173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JOHN M ELLIS · (Male)

NPI Number 1720057755
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 02/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 58546
  • MA Medicaid 3032701
Hospital affiliation(s)
  • HOLY FAMILY HOSPITAL - (Acute Care)
    70 EAST STREET
    METHUEN, MA 01844
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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