Individual
MR. DAVID MAGLAKELIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PARKWAY, BROOKLYN, NY 11235
(718) 616-3779
Mailing address
20 YORK ST, NEW HAVEN, CT 06510
(718) 616-3779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74538
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2020
Last updated
07/05/2023
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