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Jeffrey Lee Ellis, MD
Urology Physician in West Roxbury, Massachusetts
NPI 1538698543

Jeffrey Lee Ellis is a Urology Physician based in West Roxbury, MA. Jeffrey Lee Ellis practices in West Roxbury, MA and has the professional credentials of MD. The NPI Number for Jeffrey Lee Ellis is 1538698543 and holds a License No. MT212656 (Massachusetts).

The current practice location address for Jeffrey Lee Ellis is 1400 Vfw Pkwy # 112, West Roxbury, MA and can be reached out via phone at 857-203-6205.

Location: 1400 Vfw Pkwy # 112, West Roxbury, MA, 02132-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538698543
Provider Name
Jeffrey Lee Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 Vfw Pkwy # 112, West Roxbury, MA, 02132-4927
Phone Number
857-203-6205
Fax Number
Provider Enumeration Date
06/05/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1400 Vfw Pkwy # 112
City
West Roxbury
State
Massachusetts
Zip
02132-4927
Phone Number
857-203-6205
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Vfw Pkwy # 112
City
West Roxbury
State
Massachusetts
Zip
02132-4927
Phone Number
857-203-6205
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MT212656 (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
MT212656 (Pennsylvania)
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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