Gina M. Ellery, Llc | |
671 Main St, Harleysville, PA 19438-1772 | |
(215) 859-3858 | |
Not Available |
Full Name | Gina M. Ellery, Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 671 Main St, Harleysville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174286744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Gina Ellery |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649838095 PECOS PAC ID: 0941638985 Enrollment ID: I20200325001479 |
Mailing Address | Practice Location Address |
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Gina M. Ellery, Llc 604 Harleysville Pike, Harleysville, PA 19438-2824 Ph: (215) 859-7238 | Gina M. Ellery, Llc 671 Main St, Harleysville, PA 19438-1772 Ph: (215) 859-3858 |
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