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Organization
SHOBA MENON MD, PC
Active
Organization
SHOBA MENON MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBA MENON M.D. (PHYSICIAN)
(631) 929-8787
Entity
Organization
Contact information
Practice address
1866 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2137
(631) 929-8787
(631) 929-0350
Mailing address
P.O. BOX 625, WADING RIVER, NY 11792-2137
(631) 929-8787
(631) 929-0350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Enumeration date
01/05/2017
Last updated
04/20/2017
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