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Organization

FIFTH AVENUE SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS W LOEB MD (MEDICAL DIRECTOR)
(212) 327-3700
Entity
Organization

Contact information

Practice address
994 FIFTH AVENUE, NEW YORK, NY 10028
(212) 327-3700
(212) 327-4506
Mailing address
994 FIFTH AVENUE, NEW YORK, NY 10028
(212) 327-3700
(212) 327-4506

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
11/16/2006
Last updated
08/22/2020
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