HomeNPI Verification
NPI Verification
National Provider Identifier: 1538698543
Jeffrey Lee Ellis, MD
Individual Provider
Credentials
MD
Primary Specialty
Urology
Code: 208800000X
All Specialties (3)
Urology
Code: 208800000X
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Urology
Code: 208800000X
Practice Address
1400 VFW PKWY # 112
WEST ROXBURY, MA 021324927
NPI Enumeration Date
June 5, 2017
NPI Number
1538698543Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry