Munzenrider, John Ellery
Munzenrider, John Ellery is an individual health care provider with primary practice located at 55 Fruit Street Npt 107 Radiation Oncology, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Therapeutic Radiology is his primary health care specialty. Munzenrider, John Ellery can be contacted via phone (617) 726-6876.Contact Information
Primary practice address
55 Fruit Street Npt 107 Radiation Oncology
Boston MA 02114-2696
Phone: (617) 726-6876
Fax: (617) 726-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 32285 | Massachusetts |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 32285 | Massachusetts |
Profile Details
| NPI number | 1215961206 |
|---|---|
| LBN Legal business name | Munzenrider, John Ellery |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215961206 | NPPES |
| Massachusetts | MEDICAID | 3059243 | |
| Massachusetts | Other | 033285 | |
| Massachusetts | Other | M07698 |
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