Organization
MUDGIL DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADARSH VIJAY MUDGIL MD (PRESIDENT)
(631) 334-7786
Entity
Organization
Contact information
Practice address
30 5TH AVE APT 1D, NEW YORK, NY 10011-8803
(212) 228-2526
(212) 228-2735
Mailing address
30 5TH AVE APT 1D, NEW YORK, NY 10011-8803
(212) 228-2526
(212) 228-2735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
08/25/2008
Last updated
05/29/2025
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