Provider Demographics
NPI:1437246691
Name:ELLA REMENSON MD PA
Entity Type:Organization
Organization Name:ELLA REMENSON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:REMENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-638-9209
Mailing Address - Street 1:5350 ATLANTIC AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8112
Mailing Address - Country:US
Mailing Address - Phone:561-638-9209
Mailing Address - Fax:888-714-0608
Practice Address - Street 1:5350 ATLANTIC AVE STE 106
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8112
Practice Address - Country:US
Practice Address - Phone:561-638-9209
Practice Address - Fax:888-714-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8828Medicare ID - Type Unspecified