person
Dr. Samuel Theodore Eley, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1790487437

Samuel Theodore Eley is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Samuel Theodore Eley practices in Boston, MA and has the professional credentials of MD. The NPI Number for Samuel Theodore Eley is 1790487437 and holds a License No. PENDING (Massachusetts).

The current practice location address for Samuel Theodore Eley is 15 Parkman Street, Boston, MA and can be reached out via phone at 617-724-8135 and via fax at 617-724-8010.

Location: 15 Parkman Street, Boston, MA, 02114-2621
person
Provider Profile Details
NPI Number
1790487437
Provider Name
Samuel Theodore Eley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Parkman Street, Boston, MA, 02114-2621
Phone Number
617-724-8135
Fax Number
617-724-8010
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Parkman Street
City
State
Zip
02114-2621
Phone Number
617-724-8135
Fax Number
617-724-8010
person
Provider Business Mailing Address Details
Address
15 Parkman Street
City
State
Zip
02114-2621
Phone Number
617-724-8135
Fax Number
617-724-8010
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PENDING (Massachusetts)
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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