NPI 1386768612

Herman Martin Ellis, MD

Practitioner Addiction Medicine (Preventive Medicine) Physician Newark, DE

Practice location

Address: 100 Biddle Ave STE 101, Newark, DE 19702-3982
Phone: (410) 505-8605
Fax: (240) 770-0436
Mailing address: 9123 Old Annapolis Rd STE 203&204, Columbia, MD 21045-1953

Registered specialties (2)

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence C10007434 (DE)

Other Preventive Medicine providers in Delaware →

Public Health & General Preventive Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence C1-0007434 (DE)

Registry record

NPI: 1386768612
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2007
Record last updated: 6 Jun 2023

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.