Organization
COMMUNITY WELLNESS PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOPI K PUNUKOLLU MD (MEDICAL DIRECTOR)
(347) 350-9344
Entity
Organization
Contact information
Practice address
1471 DEKALB AVE, BROOKLYN, NY 11237-3894
(347) 350-9344
(347) 240-4434
Mailing address
1471 DEKALB AVE, BROOKLYN, NY 11237-3894
(347) 350-9344
(347) 240-4434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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