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Mike Ellis

NPI 1629691217 · on the registry since 2020 · sole proprietor

Practice

Address
1950 William St
Union, NJ 07083
Phone
(908) 546-8947

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey