Individual
DR. ANJANA POONTHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
270027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00630039
—
NY
Enumeration date
11/06/2007
Last updated
11/27/2023
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