SearchPennsylvania2084E0001X

Colin Ellis, M.D

NPI 1770842874 · on the registry since 2012

Practice

Address
3400 Civic Center Boulevard
2nd Floor, South Pavilion
Philadelphia, PA 19104
Phone
(215) 662-3606
Fax
(215) 243-2312
Organisation at this address
University Of Pennsylvania
Faith & Hope Boutique, Llc
University Of Penn-Medical Group
University Of Penn-Medical Group
University Of Penn-Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,049

Additional practice sites

  • 3401 Civic Center Blvd, Philadelphia, PA
  • 3400 Spruce St, Philadelphia, PA
  • 3400 Spruce St, Philadelphia, PA
  • 3500 Civic Center Blvd, Philadelphia, PA

Registry record

Primary taxonomy
2084E0001X
2084E0001X
Also registered as
2084N0400X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania