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Enrique Ellenbogen, M.d. Inc
Clinic/Center in Troy, Ohio
NPI 1184870164

Enrique Ellenbogen, M.d. Inc is a Clinic/Center based in Troy, OH. Enrique Ellenbogen, M.d. Inc practices in Troy, OH. The NPI Number for Enrique Ellenbogen, M.d. Inc is 1184870164 and holds a License No. 35100246 (Ohio).

The current practice location address for Enrique Ellenbogen, M.d. Inc is 700 S Stanfield Rd, Troy, OH and can be reached out via phone at 937-335-7121 and via fax at 937-335-7124.

Location: 700 S Stanfield Rd, Troy, OH, 45373-2569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184870164
Provider Name
Enrique Ellenbogen, M.d. Inc
Credential
Provider Entity Type
Organization
Address
700 S Stanfield Rd, Troy, OH, 45373-2569
Phone Number
937-335-7121
Fax Number
937-335-7124
Provider Enumeration Date
08/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D00246 01 OH HUMANA
L0277598 05 OH
000000010310 01 OH ANTHEM
institution
Provider Business Practice Location Address Details
Address
700 S Stanfield Rd
City
Troy
State
Ohio
Zip
45373-2569
Phone Number
937-335-7121
Fax Number
937-335-7124
person
Provider Business Mailing Address Details
Address
700 S Stanfield Rd
City
Troy
State
Ohio
Zip
45373-2569
Phone Number
937-335-7121
Fax Number
937-335-7124
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
35100246 (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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