Organization
EAR NOSE & THROAT PROFESSIONAL ASSOCIATES
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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