Individual
CHRISTINE MARIE ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 BENSALEM BLVD, BENSALEM, PA 19020-2404
(267) 249-2355
Mailing address
1512 BENSALEM BLVD, BENSALEM, PA 19020-2404
(267) 249-2355
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MT197255
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/26/2010
Last updated
07/16/2013
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