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Organization
KINGS HIGHWAY PHYSICIANS GROUP PLLC
Active
Organization
KINGS HIGHWAY PHYSICIANS GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF SALEM MD (MEDICAL DIRECTOR)
(212) 920-9212
Entity
Organization
Contact information
Practice address
144 E 98TH ST, BROOKLYN, NY 11212-3841
(347) 378-5606
(718) 701-5744
Mailing address
2152 RALPH AVE # 637, BROOKLYN, NY 11234-5406
(347) 378-5606
(718) 701-5744
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
02/14/2020
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