Individual
DR. JEROME ANTHONY MOLITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-2023
Mailing address
85 CIVIC CENTER PLZ, 104, POUGHKEEPSIE, NY 12601-2498
(845) 471-5519
(845) 471-2928
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
246993-1
NY
2085R0202X
Diagnostic Radiology Physician
MA41619
NJ
2085U0001X
Diagnostic Ultrasound Physician
MA41619
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3694607
—
NJ
Enumeration date
07/19/2006
Last updated
02/25/2015
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