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Organization

POMONA OB GYN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUDITH STAVIS M.D. (PRESIDENT)
(845) 362-5900
Entity
Organization

Contact information

Practice address
26 FIREMENS MEMORIAL DR, SUITE 120B, POMONA, NY 10970-3553
(845) 362-5900
Mailing address
26 FIREMENS MEMORIAL DR, SUITE 120B, POMONA, NY 10970-3553
(845) 362-5900

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
06/12/2012
Last updated
06/12/2012
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