Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Theodore Eley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790487437

Dr. Samuel Theodore Eley, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Parkman Street Wacc 625
Boston, MA 02114-2621
Phone: (617) 724-8135
Fax: (617) 724-8010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PENDING (MA)

Record details

NPI number1790487437
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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