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Dr. Leif William Ellisen, MDPHD
Medical Oncology Physician in Boston, Massachusetts
NPI 1225028533

Leif William Ellisen is a Medical Oncology Physician based in Charlestown, MA and is specialized in Medical Oncology. Leif William Ellisen practices in Boston, MA and has the professional credentials of MDPHD. The NPI Number for Leif William Ellisen is 1225028533 and holds a License No. 79659 (Massachusetts).

The current practice location address for Leif William Ellisen is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-1399 and via fax at 617-726-8623.

Location: 55 Fruit St, Boston, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225028533
Provider Name
Leif William Ellisen
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02129-9142
Phone Number
617-724-1399
Fax Number
617-726-8623
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079659 01 MA TUFTS HEALTH PLAN
J19462 01 MA BCBS MA
3185338 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-724-1399
Fax Number
617-726-8623
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-724-1399
Fax Number
617-726-8623
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
79659 (Massachusetts)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
79659 (Massachusetts)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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