Organization
UNNI M M MOOPPAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNNI M MOOPPAN MD (OWNER)
(718) 240-6234
Entity
Organization
Contact information
Practice address
1 BROOKDALE PLZ, UROLOGY SUITE, BROOKLYN, NY 11212-3139
(718) 240-6234
(718) 240-6605
Mailing address
1 BROOKDALE PLZ, UROLOGY SUITE, BROOKLYN, NY 11212-3139
(718) 240-6234
(718) 240-6605
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
137602
NY
Other
Enumeration date
10/04/2011
Last updated
12/06/2011
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