| Doctor Name: | ELLIS FRANK UNGER |
| NPI Number: | 1114303765 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D0033545 |
| Business Practice Address: | 5230 Tuckerman Ln Apt 803 North Bethesda, MD - 208523849 |
| Business Phone Number: | 3015307538 |
| Business Fax Number: | |
| Mailing Address: | 5230 Tuckerman Ln Apt 803, NORTH BETHESDA |
| State: | MD |
| Postal Code: | 208523849 |
| Phone Number: | 3015307538 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | D0033545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |