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Organization
ADVANCED TELEMEDICINE GROUP
Active
Organization
ADVANCED TELEMEDICINE GROUP
Active
Other names
ATG GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA FAMILUSI MD (MANAGER)
(718) 327-7307
Entity
Organization
Contact information
Practice address
529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3615
(718) 327-7307
Mailing address
529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3615
(718) 327-7307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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