Northern Medical Group Pllc

NPI #1245774637 in Brewster, New York

Provider Information

NPI Number: 1245774637
Entity Type: Organization
Organization Name: Northern Medical Group Pllc
Primary Specialty: Podiatrist
Enumeration Date: Dec 5, 2016
Last Updated: Dec 5, 2016

Practice Location

Address: 111 CLOCK TOWER CMNS
City: Brewster
State: New York
ZIP Code: 10509-4055
Phone: (845) 279-5187

Authorized Official

Name: DR. MADDIPOTI CHOUDRY, M.D.
Title: OWNER
Phone: (845) 279-5187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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