| Claudette Dandridge M.d. | |
|
720 W 5th Ave Gary IN 46402-1808 | |
| (219) 882-0262 | |
| (219) 882-0515 |
| Full Name | Claudette Dandridge M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 720 W 5th Ave, Gary, Indiana |
| Authorized Official Name and Position | Claudette R Dandridge (CEO) |
| Authorized Official Contact | 2198820262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claudette Dandridge M.d. 720 W 5th Ave Gary IN 46402-1808 Ph: (219) 882-0262 | Claudette Dandridge M.d. 720 W 5th Ave Gary IN 46402-1808 Ph: (219) 882-0262 |
| NPI Number | 1245502947 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245502947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01036379 (Indiana) | Primary |
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