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Peter D Ennis, MD
Hematology & Oncology Physician in Broomall, Pennsylvania
NPI 1508893926

Peter D Ennis is a Hematology & Oncology Physician based in Broomall, PA and is specialized in Hematology & Oncology. Peter D Ennis practices in Broomall, PA and has the professional credentials of MD. The NPI Number for Peter D Ennis is 1508893926 and holds a License No. MD059272L (Pennsylvania).

The current practice location address for Peter D Ennis is 30 Lawrence Rd, Broomall, PA and can be reached out via phone at 610-492-5900 and via fax at 610-492-5903.

Location: 30 Lawrence Rd, Broomall, PA, 19008-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508893926
Provider Name
Peter D Ennis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Lawrence Rd, Broomall, PA, 19008-3301
Phone Number
610-492-5900
Fax Number
610-492-5903
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2512918 01 PA AETNA HMO
7910189 01 PA AETNA TRADITIONAL
0651758000 01 PA IBC
779455 01 PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
30 Lawrence Rd
City
Broomall
State
Pennsylvania
Zip
19008-3301
Phone Number
610-492-5900
Fax Number
610-492-5903
person
Provider Business Mailing Address Details
Address
30 Lawrence Rd
City
Broomall
State
Pennsylvania
Zip
19008-3301
Phone Number
610-492-5900
Fax Number
610-492-5903
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD059272L (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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