Organization
UPPER DELAWARE VALLEY INFECTIOUS DISEASES,PC
Active
Organization
UPPER DELAWARE VALLEY INFECTIOUS DISEASES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R. GOOD M.D. (PRESIDENT)
(845) 794-6813
Entity
Organization
Contact information
Practice address
427 BROADWAY, SUITE 1, MONTICELLO, NY 12701-1742
(845) 794-6813
(845) 794-6816
Mailing address
427 BROADWAY, SUITE 1, MONTICELLO, NY 12701-1742
(845) 794-6813
(845) 794-6816
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01518258
—
NY
Enumeration date
10/20/2009
Last updated
10/20/2009
Update your record
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