Leif William Ellisen in Charlestown - Medical Oncology
Leif William Ellisen - NPI 1225028533
Leif William Ellisen is a Medical Oncology in Charlestown, Massachusetts. Leif William Ellisen practices all healthcare services and medical treatments related to Medical Oncology. 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 | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | 79659 |
|
Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
|
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 Medical Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Rx0202X.
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