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Organization
URBAN MEDICAL GROUP, PLLC
Active
Organization
URBAN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOHNSON MD (MD)
(646) 355-3711
Entity
Organization
Contact information
Practice address
128 MOTT ST, SUITE 202, NEW YORK, NY 10013-5540
(646) 355-3711
(212) 300-4989
Mailing address
128 MOTT ST, SUITE 202, NEW YORK, NY 10013-5540
(646) 355-3711
(212) 300-4989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
12/20/2013
Last updated
12/23/2013
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