Individual provider · Type 1 NPI

Ronald D. Ennis, MD

Radiation Oncology Physician · New York, NY

NPI number 1780668400 Active

Practice location

1000 10th Ave, Lower Level
New York, NY 10019-1147

Fax (212) 523-8189

Mailing address

PO Box 95000-2456
Philadelphia, PA 19195-0001

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001X196138 (NY)
Radiation Oncology Physician Primary 2085R0001X25MA09380900 (NJ)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1780668400

Ronald D. Ennis, MD's National Provider Identifier is 1780668400, issued on Dec 6, 2005. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in New York, NY. The record was last updated on Jun 3, 2024.