Organization
PADDU ENDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMANABH U PADDU M.D. (MD)
(718) 555-4545
Entity
Organization
Contact information
Practice address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 555-4545
Mailing address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 555-4545
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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