DR. Enrique Ellenbogen, M.D.

NPI #1972671709 in Troy, Ohio

Provider Information

NPI Number: 1972671709
Entity Type: Individual
Name: DR. Enrique Ellenbogen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Dec 1, 2006
Last Updated: Jan 18, 2012

Practice Location

Address: 700 S STANFIELD RD
Address 2: SUITE B
City: Troy
State: Ohio
ZIP Code: 45373-2569
Phone: (937) 335-7121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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