Mark J Ellenbogen, MD
Internal Medicine, Pulmonary Disease in Chestnut Hill, Massachusetts
1902831001- Practice location
- 850 Boylston St, Chestnut Hill, MA 02467
- Phone
- 617-732-9900
- Fax
- —
- Last updated
- January 10, 2019
Mark J Ellenbogen is an Internal Medicine, Pulmonary Disease based in Chestnut Hill, MA. Mark J Ellenbogen practices in Chestnut Hill, MA and has the professional credentials of MD. The NPI Number for Mark J Ellenbogen is 1902831001 and holds a License No. 36631 (MA). The current practice location address for Mark J Ellenbogen is 850 Boylston St, Chestnut Hill, MA 02467 and can be reached out via phone at 617-732-9900.
Provider Profile Details
- NPI Number
- 1902831001
- Provider Name
- Mark J Ellenbogen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 850 Boylston St, Chestnut Hill, MA 02467
- Phone Number
- 617-732-9900
- Primary Taxonomy
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- January 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 850 Boylston St
Chestnut Hill, MA 02467 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467
- Phone Number
- 617-732-9900
Provider Business Mailing Address Details
- Address
- 850 Boylston St
Chestnut Hill, MA 02467-2477 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-2477
License Information
- License Number
- 36631
- License State
- MA
- Taxonomy
- Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mark J Ellenbogen, MD?
The NPI number of Mark J Ellenbogen, MD is 1902831001. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark J Ellenbogen, MD?
Mark J Ellenbogen, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in MA under license number 36631.
Where does Mark J Ellenbogen, MD practice?
The practice location is 850 Boylston St, Chestnut Hill, MA 02467. The office can be reached at 617-732-9900 (phone).
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 1902831001 directly on the NPPES registry website.