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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1487836284 |
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| LBN Legal business name | TLC MEDICAL GROUP, S.C. | ||||||||||||||||
| Authorized official | JONATHAN SONG - (MANAGING PHYSICIAN) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/04/2007 | ||||||||||||||||
| Last updated | 01/14/2019 - About 7 years ago | ||||||||||||||||
| Identifiers |
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TLC MEDICAL GROUP, S.C.