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Individual

ROMEO L QUILATAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
257862
NY
208M00000X
Hospitalist Physician
Primary
257862
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02805214
NY
Enumeration date
08/09/2006
Last updated
10/13/2020
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