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1043476864
WALLACE B KALT MD PC
MASSAPEQUA, NY
NPI
1043476864
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Entity Type
Organization
Authorized Contact
WALLACE B KALT
Medical Doctor
516-798-3110
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: NY 077178)
Enumeration Date
2008-07-31
Last Update Date
2008-07-31
Business Address
WALLACE B KALT MD PC
930 N BROADWAY SUITE 3
MASSAPEQUA, NY 11758-2394
Phone number: 516-798-3110
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Mailing Address
WALLACE B KALT MD PC
930 N BROADWAY SUITE 3
MASSAPEQUA, NY 11758-2394
Phone number: 516-798-3110
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