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Organization
SULTAN MOHIUDDIN MD PC
Active
Organization
SULTAN MOHIUDDIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULTAN MOHIUDDIN MD (MD)
(631) 979-0212
Entity
Organization
Contact information
Practice address
300 E MAIN ST, SUITE 2, SMITHTOWN, NY 11787-2900
(631) 979-0212
(631) 979-0237
Mailing address
300 E MAIN ST, SUITE 2, SMITHTOWN, NY 11787-2900
(631) 979-0212
(631) 979-0237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206991
—
NY
Enumeration date
07/02/2008
Last updated
07/02/2008
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