Individual
JAGMOHAN S SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2143
(607) 763-6151
(607) 763-5252
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
183725
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
183725
NY
Other
Enumeration date
09/13/2005
Last updated
11/19/2011
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