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Organization
RICHMOND INTERNAL MEDICINE GROUP, P.C.
Active
Organization
RICHMOND INTERNAL MEDICINE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER N. CHACON MD (PRESIDENT)
(718) 448-6800
Entity
Organization
Contact information
Practice address
800 MANOR RD, SUITE 4, STATEN ISLAND, NY 10314-7034
(718) 448-6800
(718) 448-9458
Mailing address
800 MANOR RD, SUITE 4, STATEN ISLAND, NY 10314-7034
(718) 448-6800
(718) 448-9458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
12/06/2010
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