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Organization
CHARLES J. BACALL MD, PC
Active
Organization
CHARLES J. BACALL MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J BACALL MD (PRESIDENT)
(212) 289-4500
Entity
Organization
Contact information
Practice address
1126 PARK AVE, NEW YORK, NY 10128-1203
(212) 289-4500
(212) 289-6793
Mailing address
1126 PARK AVE, NEW YORK, NY 10128-1203
(212) 289-4500
(212) 289-6793
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129470
NY
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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