Organization
PEDIRITE MEDICAL MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KLEIN (MEMBER)
(212) 764-0008
Entity
Organization
Contact information
Practice address
1265 MCLARAN AVE, SAINT LOUIS, MO 63147-1606
(212) 764-0008
Mailing address
267 BROADWAY FL 2, BROOKLYN, NY 11211-6216
(212) 764-0008
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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