Active NPIIndividual provider

Philip S Ellerin, MD

Dermatology in Burlington, Massachusetts

NPI Number1619067816
Practice location
172 Cambridge Street, Suite 204, Burlington, MA 01803
Fax
781-272-8786
Last updated
June 18, 2015

Philip S Ellerin is a Dermatology based in Burlington, MA. Philip S Ellerin practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Philip S Ellerin is 1619067816 and holds a License No. 29481 (MA). The current practice location address for Philip S Ellerin is 172 Cambridge Street, Suite 204, Burlington, MA 01803 and can be reached out via phone at 781-272-7022 and via fax at 781-272-8786.

Provider Profile Details

NPI Number
1619067816
Provider Name
Philip S Ellerin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
172 Cambridge Street, Suite 204, Burlington, MA 01803
Phone Number
781-272-7022
Fax Number
781-272-8786
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2006
Last Update Date
June 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
172 Cambridge Street
Suite 204
Burlington, MA 01803
Zip
01803
Phone Number
781-272-7022
Fax Number
781-272-8786
Burlington, MA 01803Get directions →

Provider Business Mailing Address Details

Address
172 Cambridge Street
Suite 204
Burlington, MA 01803
City
Burlington
State
MA
Zip
01803
Phone Number
781-272-7022
Fax Number
781-272-8786

License Information

License Number
29481
License State
MA
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Philip S Ellerin, MD?

The NPI number of Philip S Ellerin, MD is 1619067816. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Philip S Ellerin, MD?

Philip S Ellerin, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 29481.

Where does Philip S Ellerin, MD practice?

The practice location is 172 Cambridge Street, Suite 204, Burlington, MA 01803. The office can be reached at 781-272-7022 (phone) or 781-272-8786 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619067816 directly on the NPPES registry website.

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