Organization
TAKESHIGE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMEKO TAKESHIGE M.D. (PRESIDENT)
(917) 340-2425
Entity
Organization
Contact information
Practice address
535 W 110TH ST APT 1D, NEW YORK, NY 10025-2021
(212) 864-8888
(212) 864-8924
Mailing address
PO BOX 121, EDGEWATER, NJ 07020-0121
(917) 340-2425
(201) 224-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
196739
NY
207RB0002X
Obesity Medicine (Internal Medicine) Physician
196739
NY
207RG0100X
Gastroenterology Physician
196739
NY
207RI0008X
Hepatology Physician
Primary
196739
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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