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1861429805
DALE J ELLENBERG
BROCKTON, MA
NPI
1861429805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 52689)
Enumeration Date
2006-06-26
Last Update Date
2011-05-11
Business Address
-- DALE J ELLENBERG M.D.
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7458
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Mailing Address
-- DALE J ELLENBERG M.D.
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7009
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