Organization
JONATHAN R MOLDOVER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MOLDOVER M.D (DOCTOR)
(212) 581-4488
Entity
Organization
Contact information
Practice address
200 W 57TH ST, SUITE 608, NEW YORK, NY 10019-3211
(212) 581-4488
Mailing address
200 W 57TH ST, SUITE 608, NEW YORK, NY 10019-3211
(212) 581-4488
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
10/05/2007
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