Middletown Medical PC

NPI #1598162067 in Chester, New York

Provider Information

NPI Number: 1598162067
Entity Type: Organization
Organization Name: Middletown Medical PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 78 BROOKSIDE AVE
Address 2: SUITE 143
City: Chester
State: New York
ZIP Code: 10918-1059
Phone: (845) 469-2692

Authorized Official

Name: MELISSA PHILLIPS
Title: CREDENTIALING SPECIALIST
Phone: (845) 344-4803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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