Montreal Internal Medicine Associates, Pc | |
1462 Montreal Rd Suite 303 Tucker GA 30084-6929 | |
(770) 938-9761 | |
(770) 938-6509 |
Full Name | Montreal Internal Medicine Associates, Pc |
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Speciality | Internal Medicine |
Location | 1462 Montreal Rd, Tucker, Georgia |
Authorized Official Name and Position | Thomas J Difulco (OWNER) |
Authorized Official Contact | 7709389761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montreal Internal Medicine Associates, Pc 1462 Montreal Rd Suite 303 Tucker GA 30084-6929 Ph: (770) 938-9761 | Montreal Internal Medicine Associates, Pc 1462 Montreal Rd Suite 303 Tucker GA 30084-6929 Ph: (770) 938-9761 |
NPI Number | 1669414066 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 10/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669414066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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