Individual
DR. MARK WARREN ENANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00249
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000249
TUFTS #
RI
01
—
203992
BLUECHIP
RI
01
—
2257
NHOOD #
RI
01
—
2700154
UNITED HEALTH
RI
01
—
70665
BCBS OF RI
RI
05
—
9007066
—
RI
Enumeration date
04/25/2006
Last updated
07/21/2022
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