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Organization

HEALTH QUEST MEDICAL PRACTICE, PC

Active
Other names
Modena PCP
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD TATELBAUM MD (PRESIDENT)
(845) 475-9635
Entity
Organization

Contact information

Practice address
2044 ROUTE 32, SUITE4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/30/2015
Last updated
03/30/2015
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