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Organization
TOMAS M. PATTUGALAN JR MD PC
Active
Organization
TOMAS M. PATTUGALAN JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS PATTUGALAN JR. M.D. (PRESIDENT)
(718) 298-9500
Entity
Organization
Contact information
Practice address
17541 HILLSIDE AVE, JAMAICA, NY 11432-5724
(718) 298-9500
(718) 658-0306
Mailing address
17541 HILLSIDE AVE, JAMAICA, NY 11432-5724
(718) 298-9500
(718) 658-0306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00726912
—
NY
Enumeration date
02/06/2012
Last updated
02/06/2012
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