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Individual

THOMAS EANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-2326
Mailing address
PO BOX 4829, MIDDLETOWN, NY 10941
(845) 649-5566
(845) 294-9656

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1724171
NY
2085R0001X
Radiation Oncology Physician
25MA05095900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01273703
NY
05
4596501
NJ
Enumeration date
05/20/2006
Last updated
03/21/2018
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