Organization
CARITAS FAMILY HEALTH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTGOMERY DOUGLAS M.D, (CHAIRMAN)
(718) 558-7160
Entity
Organization
Contact information
Practice address
11449 SUTPHIN BLVD, JAMAICA, NY 11434-1022
(718) 558-7160
Mailing address
11449 SUTPHIN BLVD, JAMAICA, NY 11434-1022
(718) 558-7160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
171089
NY
Other
Enumeration date
06/06/2007
Last updated
07/31/2008
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