Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HERMAN MARTIN ELLIS, MD
ActiveDR. HERMAN MARTIN ELLIS, MD is a 2083A0300X healthcare provider located in NEWARK, Delaware. NPI 1386768612 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · NEWARK, DE
Registration Details
- NPI Number
- 1386768612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.448564396962 yrs)
- Last Updated
- Jun 6, 2023
- Licenses
-
C1-0007434 (DE)C10007434 (DE)
Practice Information
- Address
-
100 BIDDLE AVE STE 101NEWARK, DE, 197023982Browse DE providers · Browse ZIP 19702
- Phone
- 4105058605
- Fax
- 2407700436
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- 2083A0300X
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.