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Organization
MERIDIAN MEDICAL GROUP
Active
Organization
MERIDIAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND CHANG M.D. (MEDICAL DIRECTOR)
(212) 683-1221
Entity
Organization
Contact information
Practice address
102 E 30TH ST, NEW YORK, NY 10016-7369
(212) 683-1221
(212) 683-1083
Mailing address
102 E 30TH ST, NEW YORK, NY 10016-7369
(212) 683-1221
(212) 683-1083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
262AZ1
NY
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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