DAVID JASON ELLENBOGEN

CHARLOTTE, NC
NPI1831222090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NC  615)
Additional Taxonomies213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NC  615)
213ES0131X Podiatrist, Foot Surgery
(Licence: NC  615)
Enumeration Date2007-03-14
Last Update Date2023-02-14
Business Address
Dr. DAVID JASON ELLENBOGEN DPM
10035 PARK CEDAR DR STE 100
CHARLOTTE, NC 28210-8910
Phone number: 704-442-9011
Mailing Address
Dr. DAVID JASON ELLENBOGEN DPM
10035 PARK CEDAR DR STE 100
CHARLOTTE, NC 28210-8910
Phone number: 704-442-9011