Organization
DQM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MAO MD (PRESIDENT)
(718) 690-1574
Entity
Organization
Contact information
Practice address
829 57TH ST FL 5, BROOKLYN, NY 11220-3677
(718) 964-3930
Mailing address
829 57TH ST FL 5, BROOKLYN, NY 11220-3677
(718) 964-3930
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
282619
NY
Other
Enumeration date
06/29/2018
Last updated
09/16/2018
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