Leif William Ellisen in Charlestown - Internal Medicine
Leif William Ellisen - NPI 1225028533
Leif William Ellisen is a Internal Medicine in Charlestown, Massachusetts. Leif William Ellisen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Leif William Ellisen is 1225028533. The last update date is 2012-10-22.
Leif William Ellisen's current location address is Po Box 9142, Charlestown, Massachusetts. You can contact this provider via phone number 6177266500. The mailing address for Leif William Ellisen is Po Box 9142, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leif William Ellisen |
|---|---|
| Address | Po Box 9142, Charlestown, Massachusetts |
| Phone Number | 6177266500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1225028533 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2012-10-22 |
Provider Mailing Address Detail
| Address | Po Box 9142 |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21299142 |
| Phone Number | 6177266500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 79659 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79659 | MA | TUFTS HEALTH PLAN | |
| J19462 | MA | BCBS MA | |
| 3185338 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leif William Ellisen by the Centers for Medicare & Medicaid Services (CMS)?
The Leif William Ellisen has been assigned the NPI (National Provider Identifier) 1225028533. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Leif William Ellisen's facilities are situated?
The facilities of Leif William Ellisen are physically located at the following address: Po Box 9142, Charlestown, MA, 21299142.
What is Leif William Ellisen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leif William Ellisen's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Leif William Ellisen receive its 1225028533 assignment from the Centers for Medicare & Medicaid Services?
The Leif William Ellisen was assigned its 1225028533 by the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information related to Leif William Ellisen most recently updated or refreshed?
The details pertaining to the Leif William Ellisen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-22.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA