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Deandrea Ellis
Student in an Organized Health Care Education/Training Program in Montclair, New Jersey
NPI 1477057354

Deandrea Ellis is a Student in an Organized Health Care Education/Training Program based in Berkeley Heights, NJ. Deandrea Ellis practices in Montclair, NJ. The NPI Number for Deandrea Ellis is 1477057354 and holds a License No. 25MA11142900 (New Jersey).

The current practice location address for Deandrea Ellis is 1 Seymour Plaza, Montclair, NJ and can be reached out via phone at 973-744-6939 and via fax at 973-744-0365.

Location: 1 Seymour Plaza, Montclair, NJ, 07922-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477057354
Provider Name
Deandrea Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Seymour Plaza, Montclair, NJ, 07922-2104
Phone Number
973-744-6939
Fax Number
973-744-0365
Provider Enumeration Date
03/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Seymour Plaza
City
Montclair
State
New Jersey
Zip
07042
Phone Number
973-744-6939
Fax Number
973-744-0365
person
Provider Business Mailing Address Details
Address
1 Seymour Plaza
City
Montclair
State
New Jersey
Zip
07042
Phone Number
973-744-6939
Fax Number
973-744-0365
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
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Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA11142900 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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