Richard S Ellin in Lawrenceville - Internal Medicine

Richard S Ellin - NPI 1871506386

Richard S Ellin is a Internal Medicine in Lawrenceville, Georgia. Richard S Ellin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard S Ellin is 1871506386. The last update date is 2022-01-06.

Richard S Ellin's current location address is 455 Philip Blvd Ste 130, Lawrenceville, Georgia. You can contact this provider via phone number 6789855000 and fax number 8285262914. The mailing address for Richard S Ellin is 455 Philip Blvd Ste 130, Lawrenceville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard S Ellin
Address 455 Philip Blvd Ste 130, Lawrenceville, Georgia
Phone Number 6789855000
Fax Number 8285262914
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1871506386
Provider Enumeration Date 2006-08-14
Last Updated Date 2022-01-06

Provider Mailing Address Detail

Address 455 Philip Blvd Ste 130
City Lawrenceville
State Georgia (GA)
Post Code 300468768
Phone Number 6789855000
Fax Number 8285262914

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2016-01385
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NCT328A194 NC MEDICARE PTAN

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FAQs about Richard S Ellin

What is the unique 10-digit identification code assigned to Richard S Ellin by the Centers for Medicare & Medicaid Services?

The Richard S Ellin has been issued the NPI (National Provider Identifier) 1871506386, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Richard S Ellin is geographically located?

The Richard S Ellin is physically situated at the following location: 455 Philip Blvd Ste 130, Lawrenceville, GA, 300468768.

What is the area of specialization for Richard S Ellin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard S Ellin is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

When did the Richard S Ellin receive its 1871506386?

The Richard S Ellin was issued its 1871506386 on 2006-08-14, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Richard S Ellin most recently updated or revised?

The information pertaining to Richard S Ellin, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-06.

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