Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Women |
282NW0100X |
| NPI # | 1023326667 |
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| LBN Legal business name | DMC | ||||
| Authorized official | ROOHI JEELANI - (RESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/16/2010 | ||||
| Last updated | 09/16/2010 - About 16 years ago | ||||
| Identifiers |
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