Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK J ELLENBOGEN, M.D.
ActiveMARK J ELLENBOGEN, M.D. is a Pulmonary Disease healthcare provider located in CHESTNUT HILL, Massachusetts. NPI 1902831001 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · CHESTNUT HILL, MA
Registration Details
- NPI Number
- 1902831001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.138752227733 yrs)
- Last Updated
- Jan 10, 2019
- License
-
36631 (MA)
Practice Information
- Address
-
850 BOYLSTON STCHESTNUT HILL, MA, 02467Browse MA providers · Browse ZIP 02467
- Phone
- 6177329900
- Primary Specialty
-
Pulmonary Disease
207RP1001X
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.