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Organization
GT MEDICAL PC
Active
Organization
GT MEDICAL PC
Active
Other names
Queens Medical Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QIAO DONG GUO M.D. (PRESIDENT)
(347) 947-7692
Entity
Organization
Contact information
Practice address
9436 58TH AVE # G4, ELMHURST, NY 11373
(347) 947-7692
(347) 947-7680
Mailing address
9436 58TH AVE # G4, ELMHURST, NY 11373-5149
(347) 947-7692
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
269058
NY
Other
Enumeration date
05/26/2016
Last updated
06/22/2018
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