Jay M Ellis, D.O. Valid NPI

Individual provider · Neurology Physician · Pittsfield, MA

NPI

1558441790

Type

Individual (Type 1)

Primary specialty

Neurology Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084N0400X

License number

40812 (MA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-16

Last updated

2011-03-11