Organization
SOUTH ORANGE GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD PETER LUCK MD (OWNER PHYSICIAN)
(845) 782-5745
Entity
Organization
Contact information
Practice address
600 ROUTE 208, MONROE, NY 10950
(845) 782-7277
(845) 782-5745
Mailing address
600 ROUTE 208, MONROE, NY 10950
(845) 782-7277
(845) 782-5745
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
09/29/2009
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