Organization
NUVANCE HEALTH MEDICAL PRACTICE, PC
Active
Other names
HQMP NMG Cardio HJ
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LOOMIS (CREDENTIALING)
(845) 475-9661
Entity
Organization
Contact information
Practice address
45 FOSTER RD, HOPEWELL JCT, NY 12533-6123
(845) 924-8305
(845) 592-4242
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
04/09/2021
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