Organization
NEW DAY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY KAFTAN MD (SOLE PARTNER)
(414) 708-4282
Entity
Organization
Contact information
Practice address
4655 N PT WASH RD, GLENDALE, WI 53212-1004
(414) 708-4282
Mailing address
410 E SHOREWOOD BLVD., SHOREWOOD, WI 53211
(414) 708-4282
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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