Organization
JA GOHAR MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MACTAL (ADMINISTRATOR)
(855) 505-8346
Entity
Organization
Contact information
Practice address
10816 63RD RD, FOREST HILLS, NY 11375-1352
(212) 988-2111
Mailing address
10816 63RD RD, FOREST HILLS, NY 11375-1352
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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