CARLY ELLIS

PHILADELPHIA, PA
NPI1144516857
Former NameCARLY DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  OS016464)
Enumeration Date2011-06-21
Last Update Date2014-05-24
Business Address
Dr. CARLY ELLIS D.O.
4190 CITY LINE AVE
PHILADELPHIA, PA 19131-1626
Phone number: 215-871-6693
Mailing Address
Dr. CARLY ELLIS D.O.
134 ELFRETHS ALY
PHILADELPHIA, PA 19106-2006
Phone number: