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Ethan Ellis, DO
Student in an Organized Health Care Education/Training Program in Camden, New Jersey
NPI 1932969391

Ethan Ellis is a Student in an Organized Health Care Education/Training Program based in Camden, NJ. Ethan Ellis practices in Camden, NJ and has the professional credentials of DO. The NPI Number for Ethan Ellis is 1932969391 and holds a License No. (New Jersey).

The current practice location address for Ethan Ellis is 1 Cooper Plz, Camden, NJ and can be reached out via phone at 856-342-2000.

Location: 1 Cooper Plz, Camden, NJ, 08103-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932969391
Provider Name
Ethan Ellis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Cooper Plz, Camden, NJ, 08103-1461
Phone Number
856-342-2000
Fax Number
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Cooper Plz
City
Camden
State
New Jersey
Zip
08103-1461
Phone Number
856-342-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1 Cooper Plz
City
Camden
State
New Jersey
Zip
08103-1461
Phone Number
856-342-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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