Organization
CLAUDETTE DANDRIDGE M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDETTE R DANDRIDGE M.D. (CEO)
(219) 882-0262
Entity
Organization
Contact information
Practice address
720 W 5TH AVE, GARY, IN 46402-1808
(219) 882-0262
(219) 882-0515
Mailing address
720 W 5TH AVE, GARY, IN 46402-1808
(219) 882-0262
(219) 882-0515
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01036379
IN
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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