| Ellenhorn Llc | |
|
406 Masschusetts Avenue Arlington MA 02474 | |
| (617) 491-2070 | |
| Not Available |
| Full Name | Ellenhorn Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 406 Masschusetts Avenue, Arlington, Massachusetts |
| Authorized Official Name and Position | Jackie Phypers (INSURANCE BILLING SPECIALIST) |
| Authorized Official Contact | 6174912070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellenhorn Llc 406 Masschusetts Avenue Arlington MA 02474 Ph: (617) 491-2070 | Ellenhorn Llc 406 Masschusetts Avenue Arlington MA 02474 Ph: (617) 491-2070 |
| NPI Number | 1568738292 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568738292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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