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Organization
JOHN M. CALLAHAN M.D. P.C.
Active
Organization
JOHN M. CALLAHAN M.D. P.C.
Active
Other names
Adult Primary Care of Fayetteville
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL CALLAHAN M.D. (SOLE PROPRIETOR)
(315) 637-0477
Entity
Organization
Contact information
Practice address
212 HIGHBRIDGE ST, SUITE C, FAYETTEVILLE, NY 13066-1979
(315) 637-0477
Mailing address
212 HIGHBRIDGE ST, SUITE C, FAYETTEVILLE, NY 13066-1979
(315) 637-0477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1936736
—
NY
Enumeration date
11/07/2006
Last updated
08/22/2020
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