| Tyler Ellison, LAC | |
|
175 Boston Post Rd Ste 1, Waterford, CT 06385-2815 | |
| (860) 271-7354 | |
| Not Available |
| Full Name | Tyler Ellison |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 175 Boston Post Rd Ste 1, Waterford, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 846112 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Ellison, LAC 122 Foster St, New Haven, CT 06511-2655 Ph: () - | Tyler Ellison, LAC 175 Boston Post Rd Ste 1, Waterford, CT 06385-2815 Ph: (860) 271-7354 |
Prof. Martha Ma, LAC, M.S. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 83 Boston Post Rd, Waterford, CT 06385 Phone: 917-309-4694 | |
Po Chi Lam Clinic Inc Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 83 Boston Post Rd, Waterford, CT 06385 Phone: 860-443-0800 |