Organization
NORTHERN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADDIPOTI CHOUDRY M.D. (OWNER)
(845) 279-5187
Entity
Organization
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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