Jonathan R Moldover MD LLC

NPI #1164616603 in New York, New York

Provider Information

NPI Number
1164616603
Entity Type
Organization
Organization Name
Jonathan R Moldover MD LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Aug 28, 2007
Last Updated
Oct 5, 2007

Practice Location

Address
200 W 57TH ST
Address 2
SUITE 608
ZIP Code
10019-3211
Phone
(212) 581-4488

Authorized Official

Name
DR. JONATHAN MOLDOVER, M.D
Title
DOCTOR
Phone
(212) 581-4488

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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