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Organization
MIDDLETOWN MEDICAL PC
Active
Organization
MIDDLETOWN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PHILLIPS (CREDENTIALING SPECIALIST)
(845) 344-4803
Entity
Organization
Contact information
Practice address
1219 DOLSONTOWN RD, MIDDLETOWN, NY 10940-4749
(845) 344-1899
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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