Organization
DILIP M THAKKER PHYSICIAN PC
Active
Other names
dilip m thakker md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP M THAKKER MD (OWNER)
(518) 725-6868
Entity
Organization
Contact information
Practice address
10 E 9TH AVE, GLOVERSVILLE, NY 12078-1629
(518) 725-6868
(518) 725-6263
Mailing address
10 EAST 9 AVE., GLOVERSVILLE, NY 12078-1629
(518) 725-6868
(518) 725-6263
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
186146-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01265810
—
NY
Enumeration date
12/17/2008
Last updated
12/17/2008
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