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Organization

P. BADER & N. GONDAL M.D. , P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL BRUCE BADER MD (PRESIDENT)
(718) 263-7766
Entity
Organization

Contact information

Practice address
11247 QUEENS BLVD, STE 209, FOREST HILLS, NY 11375-7417
(718) 263-7766
(718) 544-1981
Mailing address
11247 QUEENS BLVD, STE 209, FOREST HILLS, NY 11375-7417
(718) 263-7766
(718) 544-1981

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
143018
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00840157
NY
05
01598425
NY
01
0898142
PAUL BADER
NY
01
143018
PAUL BADER
NY
01
191119
NASIR GONDAL
NY
01
2050689
NASIR GONDAL
NY
01
20D771
PAUL BADER
NY
01
808821
NASIR GONDAL
NY
01
DS356
PAUL BADER
NY
01
P379206
NASIR GONDAL
NY
Enumeration date
02/07/2007
Last updated
01/22/2008
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