Individual
DR. MADHU MICHEAL OUSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
525 E 68TH ST, STARR 702A, NEW YORK, NY 10065-4870
(212) 746-2442
(212) 746-8173
Mailing address
525 E 68TH ST, STARR 702A, NEW YORK, NY 10065-4870
(212) 746-2442
(212) 746-8173
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
303640
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LP03167
RI
Other
Enumeration date
06/04/2014
Last updated
12/27/2023
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