IndividualActive
Harvey Ellis, CCP,LP
NPI 1629910369 · Perfusionist · Bethesda, MD
Provider details
- NPI number
- 1629910369
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP,LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- Y0000040 (MD)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4710 Bethesda Ave Apt 719
Bethesda, MD 20814-5258
Phone: (203) 641-5340
Approximate (ZIP-level) locationGet directions
Mailing address
4710 Bethesda Ave Apt 719
Bethesda, MD 20814-5258
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.