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Organization
PALMETTO MEDICAL GROUP, LLP
Active
Organization
PALMETTO MEDICAL GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE SERJE MD (OWNER)
(718) 499-6099
Entity
Organization
Contact information
Practice address
337 SAINT NICHOLAS AVE, RIDGEWOOD, NY 11385-2738
(718) 499-6099
(718) 499-6391
Mailing address
337 SAINT NICHOLAS AVE, RIDGEWOOD, NY 11385-2738
(718) 499-6099
(718) 499-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179466
NY
Other
Enumeration date
06/06/2011
Last updated
03/30/2012
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