Provider Demographics
NPI:1720090228
Name:ZHAN, ELLEN H (MD)
Entity Type:Individual
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First Name:ELLEN
Middle Name:H
Last Name:ZHAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11 LYON RD
Mailing Address - Street 2:CHESTNUT HILL
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2674
Mailing Address - Country:US
Mailing Address - Phone:774-826-1807
Mailing Address - Fax:774-826-2460
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:SCI SERVICE
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:857-203-6574
Practice Address - Fax:857-203-5553
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2012-08-13
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Provider Licenses
StateLicense IDTaxonomies
MA208361204C00000X, 2081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine