National Provider Identifier

Benjamin Ernst Onderdonk, M.D.

Benjamin Ernst Onderdonk, M.D. is listed in the NPPES registry with a primary specialty of Radiation Oncology Physician in Rochester, NY and a listed phone number of (585) 922-4031.

NPI 1013370295Rochester, NYRadiation Oncology Physician

Profile Overview

NPI
1013370295
Provider Type
Individual
Primary Specialty
Radiation Oncology Physician
Enumeration Date
April 04, 2016
Last Updated
July 02, 2021

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4031

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Radiation Oncology Physician (2085R0001X)
  • Radiation Oncology Physician (2085R0001X)
Full Record
NPI
1013370295
Entity Type
Individual
Last Name
Onderdonk
First Name
Benjamin
Middle Name
Ernst
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-4031
Mailing Fax
(585) 922-2971
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4031
Practice Fax
(585) 922-2971
Enumeration Date
April 04, 2016
Last Updated
July 02, 2021
Sex
Male
Sole Proprietor
No
Certification Date
July 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Radiation Oncology Physician (2085R0001X), Radiation Oncology Physician (2085R0001X)