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Organization
MIDDLETOWN MEDICAL PC
Active
Organization
MIDDLETOWN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PHILLIPS (CREDENTIALING SPECIALIST)
(845) 344-4803
Entity
Organization
Contact information
Practice address
78 BROOKSIDE AVE, SUITE 143, CHESTER, NY 10918-1059
(845) 469-2692
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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