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Individual

DR. PADMA SUNDARAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7 LILAC ST, MIDDLETOWN, NY 10940-5053
(845) 343-0011
Mailing address
7 LILAC ST, MIDDLETOWN, NY 10940-5053
(845) 343-0011

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
149639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149639
NEW YORK STATE LICENCE
NY
Enumeration date
11/30/2012
Last updated
11/30/2012
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