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Individual

DR. JOHN G ILAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 W 168TH ST PH 16-166, NEW YORK, NY 10032-3720
(212) 305-3151
(212) 305-7806
Mailing address
622 W 168TH ST PH 16-166, NEW YORK, NY 10032-3720
(212) 305-3151
(212) 305-7806

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
233763
NY
207VM0101X
Maternal & Fetal Medicine Physician
25MA07644200
NJ

Other

Enumeration date
11/10/2006
Last updated
03/11/2022
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