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1477180339
JOSHUA SHAW ELLIS
BOSTON, MA
NPI
1477180339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
JOSHUA SHAW ELLIS MD
55 FRUIT ST
BOSTON, MA 02114-2696
Phone number: 617-726-2800
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Mailing Address
JOSHUA SHAW ELLIS MD
303A E POPLAR AVE
CARRBORO, NC 27510-1713
Phone number: 803-587-1840
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