MEDICARE: ELLIS FRANK UNGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	D0033545	MD

General Provider Information

NPI Number	:	1114303765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIS FRANK UNGER M.D.

Provider Business Mailing Address
First Line	:	9002 HEMPSTEAD AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-3561
Country	:	US
Telephone Number	:	301-493-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-3849
Country	:	US
Telephone Number	:	301-796-1157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	04/04/2019

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