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Individual

DR. THADDEUS MALAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
64 N 5TH ST # 2, HUDSON, NY 12534-1722
(219) 508-7198
Mailing address
64 NORTH 5TH ST., #2, HUDSON, NY 12534
(219) 508-7198

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01023351A
IN

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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