Individual
DR. RONALD LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SAINT JOSEPH'S HOSPITAL, 703 MAIN STREET, PATERSON, NJ 07503
(973) 754-2000
Mailing address
175 GRAMERCY PL, GLEN ROCK, NJ 07452-2309
(201) 445-7478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
165062
NY
207R00000X
Internal Medicine Physician
25MA05320300
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
165062
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA05320300
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA05320300
NJ
207RP1001X
Pulmonary Disease Physician
165062
NY
207RP1001X
Pulmonary Disease Physician
25MA05320300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454113
—
NY
Enumeration date
01/16/2007
Last updated
04/01/2025
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