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4007 Gateway Blvd Newburgh IN 47630-8947 | |
(812) 842-4784 | |
(812) 842-3921 |
Full Name | |
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Speciality | Internal Medicine - Cardiovascular Disease |
Location | 4007 Gateway Blvd, Newburgh, Indiana |
Authorized Official Name and Position | Tracy L Silva (CONTROLLER) |
Authorized Official Contact | 8128423985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3199 Evansville IN 47731-3199 Ph: (812) 450-6815 | 4007 Gateway Blvd Newburgh IN 47630-8947 Ph: (812) 842-4784 |
NPI Number | 1093948861 |
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Provider Enumeration Date | 08/27/2009 |
Last Update Date | 11/09/2017 |
Identifier | Type | State | Issuer |
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1093948861 | NPI | - | NPPES |
200975380 | Medicaid | IN |
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