| Paul Duggal P.c. | |
|
119 Wickham Ave Middletown NY 10940-3714 | |
| (845) 343-9919 | |
| (845) 344-0076 |
| Full Name | Paul Duggal P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 119 Wickham Ave, Middletown, New York |
| Authorized Official Name and Position | Paul Duggal (PRESIDENT) |
| Authorized Official Contact | 8453439919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Duggal P.c. 119 Wickham Ave Middletown NY 10940-3714 Ph: (845) 343-9919 | Paul Duggal P.c. 119 Wickham Ave Middletown NY 10940-3714 Ph: (845) 343-9919 |
| NPI Number | 1073931291 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073931291 | NPI | - | NPPES |
| 00747677 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 034881 (New York) | Primary |
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