# MOEHLEN MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700036795
- **Authorized official:** MR. KARL-HEINZ MOEHLEN M.D. (PRESIDENT)
- **Authorized official phone:** (212) 737-6222

## Contact information

- **Practice address:** 128 E 75TH ST, NEW YORK, NY 10021-3291
- **Practice address phone:** (212) 737-6222
- **Practice address fax:** (212) 570-9362
- **Mailing address:** 128 E 75TH ST, NEW YORK, NY 10021-3291
- **Mailing address phone:** (212) 737-6222
- **Mailing address fax:** (212) 570-9362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 145561 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 156500 | NY | Yes |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 09/25/2008