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Organization

WEST SIDE MEDICAL GROUP, P.C.

Active
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Organization

WEST SIDE MEDICAL GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DELLOSSO M.D. (OWNER)
(212) 638-4000
Entity
Organization

Contact information

Practice address
314 W 14TH ST, NEW YORK, NY 10014-5002
(212) 438-6000
(646) 638-1842
Mailing address
314 W 14TH ST, NEW YORK, NY 10014-5002
(212) 438-6000
(646) 638-1842

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103415
NY

Other

Enumeration date
04/03/2007
Last updated
11/02/2007
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