Benjamin G Ellenbogen, MD - Otolaryngology in Fremont, CA

Benjamin G Ellenbogen, MD is a Otolaryngology physician based in Fremont, California. Benjamin G Ellenbogen is licensed to practice in California (license number G46961) and his current practice location is 45185 Onondaga Dr, Fremont, California. He can be reached at his office (for appointments etc.) via phone at (510) 659-8182.

NPI number for Benjamin G Ellenbogen is 1730267584 and his current mailing address is 45185 Onondaga Dr, Fremont, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730267584.

Contact Information

Benjamin G Ellenbogen, MD
45185 Onondaga Dr,
Fremont, CA 94539-6739
(510) 659-8182
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin G Ellenbogen
GenderMale
SpecialityOtolaryngology
Location45185 Onondaga Dr, Fremont, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730267584
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 02/01/2012

Medical Identifiers

Medical identifiers for Benjamin G Ellenbogen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730267584NPI-NPPES
00G469610MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology G46961 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin G Ellenbogen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benjamin G Ellenbogen, MD
45185 Onondaga Dr,
Fremont, CA 94539-6739

Ph: (510) 659-8182
Benjamin G Ellenbogen, MD
45185 Onondaga Dr,
Fremont, CA 94539-6739

Ph: (510) 659-8182

Reviews and Comments


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