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Organization
PROSPECT MEDICAL GROUP
Active
Organization
PROSPECT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN DUNN (PRACTICE MANAGER)
(718) 613-4442
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4442
(718) 613-4885
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4442
(718) 613-4885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
03/13/2008
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