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Individual

PRAJITH MEPPARAMBATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
276111
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
276111
LICENSE
NY
Enumeration date
07/25/2012
Last updated
07/17/2019
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