Theodore Fried Burford Welch & David Hauer Md, PC
NPI #1639233901 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1639233901
- Entity Type
- Organization
- Organization Name
- Theodore Fried Burford Welch & David Hauer Md, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Dec 7, 2009
Practice Location
- Address
- 388 HAWKINS AVE
- Address 2
- SUITE 1
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4280
- Phone
- (631) 588-8460
Authorized Official
- Name
- DR. DAVID HAUER, M.D.
- Title
- PRESIDENT
- Phone
- (631) 588-8460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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