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Organization
PHYSICIAN ASSOCIATES OF PARK PLACE
Active
Organization
PHYSICIAN ASSOCIATES OF PARK PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOLDA O JOHNSON MD (PRESIDENT)
(718) 773-2273
Entity
Organization
Contact information
Practice address
910 PARK PL, BROOKLYN, NY 11216-4000
(718) 773-2273
Mailing address
910 PARK PL, BROOKLYN, NY 11216-4000
(718) 773-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01794132
—
NY
Enumeration date
07/09/2006
Last updated
08/22/2020
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