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Organization

U.S. MEDGROUP OF NEW YORK, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
W TOM FOGARTY MD (EVP/CHIEF MEDICAL OFFICER)
(972) 364-8000
Entity
Organization

Contact information

Practice address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(800) 364-8000
(214) 775-4515
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(800) 364-8000
(214) 775-4515

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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