Organization
MANAGED PHYSICAL NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DESMET (COO)
(763) 797-4821
Entity
Organization
Contact information
Practice address
505 BOICES LN, KINGSTON, NY 12401-1083
(845) 382-1870
(845) 382-1341
Mailing address
PO BOX 8200, KINGSTON, NY 12402-8200
(845) 382-1870
(845) 382-1341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
12/28/2011
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