| Danielle Imani Ellis, MD | |
|
75 Riverside Ave Ste 4, Medford, MA 02155-4600 | |
| (781) 396-8224 | |
| Not Available |
| Full Name | Danielle Imani Ellis |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 75 Riverside Ave Ste 4, Medford, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740817469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 295571 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Imani Ellis, MD Po Box 24300, New York, NY 10087-4300 Ph: (781) 744-8771 | Danielle Imani Ellis, MD 75 Riverside Ave Ste 4, Medford, MA 02155-4600 Ph: (781) 396-8224 |
Kenneth R Devellis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 92 High St, Suite 32, Medford, MA 02155 Phone: 781-395-5250 |
Dr. Charles D Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 49 Governors Ave, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 |
Catherine S Tucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Governors Ave, Hallmark Health Medical Associates Inc, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 |