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David Ellenbogen, DPM

NPI 1831222090 · on the registry since 2007

Practice

Address
10035 Park Cedar Dr Ste 100
Charlotte, NC 28210
Phone
(704) 442-9011
Fax
(704) 625-9484
Organisation at this address
Southeast Family Care Pllc
Active Life Health Of Pineville Pllc
Active Life Health Of Pineville Pllc
Greater Charlotte Oral And Facial Surgery
Charlotte Limb Preservation & Diabetic Foot Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213EP1101X
213ES0131X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-14

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 North Carolina