Individual
DR. ODISE CENAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA10678100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
293264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05177500
—
NY
Enumeration date
08/20/2013
Last updated
03/08/2021
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