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Organization
GOTHAM MEDICAL GROUP LLP
Active
Organization
GOTHAM MEDICAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M. DILLON MD (OWNER)
(212) 620-0144
Entity
Organization
Contact information
Practice address
314 W 14TH ST, 5TH FLOOR, NEW YORK, NY 10014-5002
(212) 620-0144
Mailing address
314 W 14TH ST, 5TH FLOOR, NEW YORK, NY 10014-5002
(212) 620-0144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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