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1508818410
THOMAS RICHARD ELLENBERGER
JOHNSTOWN, PA
NPI
1508818410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD018414E)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Dr. THOMAS RICHARD ELLENBERGER M.D.
321 MAIN ST SUITE 5D
JOHNSTOWN, PA 15901-1632
Phone number: 814-535-7885
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Mailing Address
Dr. THOMAS RICHARD ELLENBERGER M.D.
130 ROLLING HILLS RD
JOHNSTOWN, PA 15905-5224
Phone number: 814-535-7885
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