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Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADDIPOTI CHOUDRY MD (PRESIDENT)
(845) 592-4915
Entity
Organization
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(855) 703-7570
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(855) 703-7570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04755717
—
NY
Enumeration date
11/04/2016
Last updated
01/28/2026
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