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Organization

CARITAS MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNE CAMPBELL (DIRECTOR)
(717) 628-1338
Entity
Organization

Contact information

Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1830
(718) 558-1878
Mailing address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1830
(718) 558-1878

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NY
Enumeration date
12/12/2006
Last updated
09/18/2008
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