Eanelli, Thomas

Eanelli, Thomas is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Eanelli, Thomas can be contacted via phone (845) 333-2326.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 333-2326
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA05095900 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1724171 New York

Profile Details

NPI number 1407800915
LBN Legal business name Eanelli, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407800915 NPPES
New Jersey MEDICAID 4596501
New Jersey MEDICAID 01273703

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