Individual
CYNTHIA A ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 764-6041
(508) 764-6318
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
226634
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
226634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082449A
—
MA
Enumeration date
06/01/2006
Last updated
03/05/2026
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