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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X |
| NPI Number | 1942325592 |
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| LBN Legal business name | THOMAS R. ELLENBERGER, JR MD PC | ||||||||||||||||||||
| Authorized official | THOMAS ELLENBERGER - (PRESIDENT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 03/20/2007 | ||||||||||||||||||||
| Last updated | 09/27/2007 - About 19 years ago | ||||||||||||||||||||
| Identifiers |
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THOMAS R. ELLENBERGER, JR MD PC