Whalio Doctors

NPI 1134162522

Daniel Thomas Ellis, MD

Practitioner Emergency Medicine Physician Stratford, NJ

Practice location

Address
18 Laurel Rd E, Stratford, NJ 08084-1327
Phone
(856) 346-7816
Fax
(856) 346-6385
Mailing address
307 S Evergreen Ave, Woodbury, NJ 08096-2739

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MA78633 (NJ)

Registry record

NPI
1134162522
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2006
Record last updated
14 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.