JONATHAN R ELLIS MD

STEWARD MEDICAL GROUP INC

Dr JONATHAN R ELLIS MD is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1985 from Boston University School Of Medicine.

Contact

STEWARD MEDICAL GROUP INC

1 COMPASS WAY
SUITE 107
EAST BRIDGEWATER
MA
023331464

Tel: 5083502400

JONATHAN R ELLIS MD Information

Npi 1932155637
Pac Id 4880667187
Professional Enrollment Id I20050503000907
Last Name ELLIS
First Name JONATHAN
Middle Name R
Suffix
Gender M
Credential MD
Medical School Name BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name STEWARD MEDICAL GROUP INC
Group Practice Pac Id 2860688728
Number Of Group Practice Members 1488
Line 1 Street Address 1 COMPASS WAY
Line 2 Street Address SUITE 107
Marker Of Address Line 2 Suppression
City EAST BRIDGEWATER
State MA
Zip Code 023331464
Phone Number 5083502400
Hospital Affiliation Ccn 1 220052
Hospital Affiliation Lbn 1 SIGNATURE HEALTHCARE BROCKTON HOSPITAL
Hospital Affiliation Ccn 2 220100
Hospital Affiliation Lbn 2 SOUTH SHORE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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