person
Dr. David Jason Ellenbogen, DPM
Foot & Ankle Surgery Podiatrist in Charlotte, North Carolina
NPI 1831222090

David Jason Ellenbogen is a Foot & Ankle Surgery Podiatrist based in Charlotte, NC and is specialized in Foot & Ankle Surgery. David Jason Ellenbogen practices in Charlotte, NC and has the professional credentials of DPM. The NPI Number for David Jason Ellenbogen is 1831222090 and holds a License No. 615 (North Carolina).

The current practice location address for David Jason Ellenbogen is 10035 Park Cedar Dr Ste 100, Charlotte, NC and can be reached out via phone at 704-442-9011 and via fax at 704-625-9484. You can also correspond with David Jason Ellenbogen through the mailing address at 10035 PARK CEDAR DR STE 100, CHARLOTTE, NC - 28210-8910 (mailing address contact number: 704-442-9011).

Location: 10035 Park Cedar Dr Ste 100, Charlotte, NC, 28210-8910
person
Provider Profile Details
NPI Number
1831222090
Provider Name
David Jason Ellenbogen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10035 Park Cedar Dr Ste 100, Charlotte, NC, 28210-8910
Phone Number
704-442-9011
Fax Number
704-625-9484
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10035 Park Cedar Dr Ste 100
City
State
Zip
28210-8910
Phone Number
704-442-9011
Fax Number
704-625-9484
person
Provider Business Mailing Address Details
Address
10035 Park Cedar Dr Ste 100
City
State
Zip
28210-8910
Phone Number
704-442-9011
Fax Number
704-625-9484
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
615 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
615 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
615 (North Carolina)
Definition
Definition to come...
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