Provider Information for 1821441866
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JAMES ELLER
Sex: Male
NPI: 1821441866
Last Updated: 2016-07-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1821441866 | ||||||||||||||||||||
| Enumeration Date | 2016-07-14 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 246 RAMPART BLVD NEW KENSINGTON, PA 15068-9350 United States Phone: 412-915-9836 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 1900 MURRAY AVE PITTSBURGH, PA 15217-1657 United States Phone: 412-915-9836 | Fax: | ||||||||||||||||||||
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