Medford Dialysis Access P.c.

NPI #1205917804 in Medford, New York

Provider Information

NPI Number
1205917804
Entity Type
Organization
Organization Name
Medford Dialysis Access P.c.
Primary Specialty
Radiology - Vascular & Interventional Radiology
Enumeration Date
Oct 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3241 ROUTE 112
Address 2
BLDG #7
ZIP Code
11763-1434
Phone
(631) 732-4600

Authorized Official

Name
DR. PURSHOTAM LAL NAGWANI, M.D.
Title
PRESIDENT/OWNER
Phone
(631) 732-4600

Specialties & Taxonomy Codes

Specialty
Radiology - Vascular & Interventional RadiologyVascular & Interventional Radiology

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