Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEAN ENIS, MD
Active Sole ProprietorDR. SEAN ENIS, MD is a General Practice healthcare provider located in ENGLEWOOD, New Jersey. NPI 1417104399 is currently active in the NPPES registry. Verify at CMS.
General Practice · ENGLEWOOD, NJ
Registration Details
- NPI Number
- 1417104399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2008 (17.999798374162 yrs)
- Last Updated
- Jan 30, 2017
- Licenses
-
25MA8167000 (NJ)25MA08167000 (NJ)256649 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
189 LYMAN PLENGLEWOOD, NJ, 076313609Browse NJ providers · Browse ZIP 07631
- Phone
- 9179459568
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.