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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEIF WILLIAM ELLISEN, MD PHD

Active

DR. LEIF WILLIAM ELLISEN, MD PHD is a Medical Oncology healthcare provider located in BOSTON, Massachusetts. NPI 1225028533 is currently active in the NPPES registry. Verify at CMS.

Medical Oncology · BOSTON, MA

Registration Details

NPI Number
1225028533
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2005 (20.834638820162 yrs)
Last Updated
Oct 22, 2012
Licenses
79659 (MA)
79659 (MA)

Practice Information

Address
55 FRUIT ST
GRJ 904
BOSTON, MA, 021142696
Browse MA providers · Browse ZIP 02114
Phone
6177241399
Fax
6177268623
Primary Specialty
Medical Oncology
207RX0202X
Additional Specialty
Medical Oncology

Other Medical Oncology Providers in BOSTON, MA

Name Credential NPI
OSAMA E. RAHMA M.D. 1730172149
DR. LAWRENCE SCOTT BLASZKOWSKY MD 1225028137
DR. RAJESH TIM GANDHI MD 1992795512
DR. ROBERT JAMES MAYER MD 1659361327
DR. RAMESH A SHIVDASANI M.D., PH.D. 1285624668
DR. RICHARD T PENSON MD 1447240999
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.