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1093790800
DOUGLAS LAX
ROCKVILLE CENTRE, NY
NPI
1093790800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NY 158526)
Enumeration Date
2005-12-14
Last Update Date
2009-10-30
Business Address
-- DOUGLAS LAX DO
242 MERRICK RD SUITE 304
ROCKVILLE CENTRE, NY 11570-5254
Phone number: 516-764-7070
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Mailing Address
-- DOUGLAS LAX DO
242 MERRICK RD SUITE 304
ROCKVILLE CENTRE, NY 11570-5254
Phone number: 516-764-7070
Copy
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