Individual
DR. SEAN ENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 LYMAN PL, ENGLEWOOD, NJ 07631-3609
(917) 945-9568
Mailing address
189 LYMAN PL, ENGLEWOOD, NJ 07631-3609
(917) 945-9568
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
256649
NY
2085R0202X
Diagnostic Radiology Physician
25MA08167000
NJ
208D00000X
General Practice Physician
Primary
25MA8167000
NJ
Other
Enumeration date
08/22/2008
Last updated
01/30/2017
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