Organization
DOCTORS COMMUNITY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER DILALLO M.D. (MEDICAL DIRECTOR)
(607) 324-2340
Entity
Organization
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(607) 324-2340
(607) 324-7615
Mailing address
32 BROADWAY MALL, HORNELL, NY 14843-1920
(607) 324-2340
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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