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Organization
INTERNAL MEDICINE OF ITHACA, PC
Active
Organization
INTERNAL MEDICINE OF ITHACA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD AHMAD WATTOO MD (PRESIDENT)
(607) 257-3452
Entity
Organization
Contact information
Practice address
2359 N TRIPHAMMER RD, ITHACA, NY 14850-1059
(607) 257-3452
(607) 257-3612
Mailing address
2359 N TRIPHAMMER RD, ITHACA, NY 14850-1059
(607) 257-3452
(607) 257-3612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218549
NY
Other
Enumeration date
09/05/2007
Last updated
12/07/2007
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