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1053341735
FREDRIC RUSSELL KELLOGG
NEW YORK, NY
NPI
1053341735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 125401)
Enumeration Date
2006-07-05
Last Update Date
2010-07-26
Business Address
-- FREDRIC RUSSELL KELLOGG MD
222 W 14TH ST
NEW YORK, NY 10011-7200
Phone number: 212-604-1800
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Mailing Address
-- FREDRIC RUSSELL KELLOGG MD
30 W 13TH ST #2C
NEW YORK, NY 10011-7912
Phone number: 212-604-8026
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