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Organization
M BALAGHI MD PLLC
Active
Organization
M BALAGHI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MESBAHEDDIN BALAGHI MD (PRESIDENT)
(845) 831-0479
Entity
Organization
Contact information
Practice address
831 ROUTE 52, SUITE L2, FISHKILL, NY 12524-1565
(845) 831-0479
(845) 831-0631
Mailing address
PO BOX 152, LAGRANGEVILLE, NY 12540-0152
(845) 831-0479
(845) 831-0631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01672797
—
NY
Enumeration date
10/09/2007
Last updated
08/18/2011
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