Individual
DR. JOHN ANTHONY ENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6448
Mailing address
300 2ND AVE, UNIT 4149, NEEDHAM, MA 02494
(210) 286-4681
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
26786
OK
2085R0202X
Diagnostic Radiology Physician
Primary
26786
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2007
Last updated
07/21/2022
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