Organization
EAR NOSE & THROAT PROFESSIONAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX L RONIS MD (PRESIDENT)
(215) 790-1553
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, STE 1405, PHILADELPHIA, PA 19102-2944
(215) 790-1553
(215) 735-4977
Mailing address
1601 WALNUT ST, STE 1405, PHILADELPHIA, PA 19102-2944
(215) 790-1553
(215) 735-4977
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053359000
IBC
PA
01
—
116585100
DEPARTMENT OF LABOR
PA
Enumeration date
09/21/2006
Last updated
11/07/2008
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