Organization · Type 2 NPI

Enrique Ellenbogen, M.d. Inc

Clinic/Center · Troy, OH

NPI number 1184870164 Active

Practice location

700 S Stanfield Rd, Suite B
Troy, OH 45373-2569

Fax (937) 335-7124

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X35100246 (OH)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7 other providers at this address

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About NPI 1184870164

Enrique Ellenbogen, M.d. Inc's National Provider Identifier is 1184870164, issued on Aug 11, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Troy, OH. The record was last updated on Aug 22, 2008.