Organization
THOMAS R. EANELLI RADIATION ONCOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. EANELLI M.D. (OWNER)
(201) 252-8468
Entity
Organization
Contact information
Practice address
75 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7000
(845) 695-5999
(845) 695-5832
Mailing address
1 INTERNATIONAL BLVD, SUITE 1130, MAHWAH, NJ 07495-0027
(201) 252-8468
(201) 252-8472
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
172417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
07/23/2010
Last updated
02/28/2011
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