IndividualActive
Herman Ellis, MD
NPI 1386768612 · Addiction Medicine (Preventive Medicine) Physician · Newark, DE
Provider details
- NPI number
- 1386768612
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0007434 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Biddle Ave Ste 101
Newark, DE 19702-3982
Phone: (410) 505-8605
Fax: (240) 770-0436
Approximate (ZIP-level) locationGet directions
Mailing address
9123 Old Annapolis Rd Ste 203&204
Columbia, MD 21045-1953
Additional practice locations (1)
- 9123 Old Annapolis Rd Ste 203&204Columbia, MD 21045-1953Phone: (410) 505-8605Fax: (240) 770-0436
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2023-06-06
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.