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Organization
MEDICAL SME NY, P.C.
Active
Organization
MEDICAL SME NY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPPERT HAWES M.D. (PRESIDENT)
(609) 405-7450
Entity
Organization
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(301) 809-4000
Mailing address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA0714600
NY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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