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Organization
THE CHILDREN'S MEDICAL GROUP PLLC
Active
Organization
THE CHILDREN'S MEDICAL GROUP PLLC
Active
Other names
The Children's Medical Group PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAYHEW (CHIEF EXECUTIVE OFFICER)
(845) 452-1700
Entity
Organization
Contact information
Practice address
29 ELM ST, FISHKILL, NY 12524-1851
(845) 452-1700
(845) 452-1752
Mailing address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
(845) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
10/21/2021
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