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Organization
NOVEL MEDICINE PC
Active
Organization
NOVEL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA GOLDVUG MD (MEDICAL DIRECTOR)
(917) 882-5122
Entity
Organization
Contact information
Practice address
9709 64 ROAD, REGO PARK, NY 11374
(917) 882-5122
Mailing address
9709 64 ROAD, REGO PARK, NY 11374
(917) 882-5122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196541
NY
Other
Enumeration date
06/12/2008
Last updated
03/07/2023
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