Organization
NORTHERN RESPIRATORY SPECIALIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ K GUPTA MD (PRESIDENT)
(845) 621-2211
Entity
Organization
Contact information
Practice address
21 CLARK PL, NORTHERN RESPIRATORY SPECIALIST PC, MAHOPAC, NY 10541-4723
(845) 621-2211
(845) 621-2046
Mailing address
671 ROUTE 6, NORTHERN RESPIRATORY SPECIALIST, PC, MAHOPAC, NY 10541-1638
(845) 621-2007
(845) 621-4528
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
06/21/2011
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