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Organization
UNION MEDICAL PC
Active
Organization
UNION MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO GUSTAVE MD (OWNER)
(718) 344-9126
Entity
Organization
Contact information
Practice address
1562 UNION ST, BROOKLYN, NY 11213-4501
(718) 344-9126
(718) 778-4477
Mailing address
1562 UNION ST, BROOKLYN, NY 11213-4501
(718) 344-9126
(718) 778-4477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
232004
NY
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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