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1104117969
MACDALE JOHN ELWIN
NEW YORK, NY
NPI
1104117969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 273102)
Enumeration Date
2011-04-28
Last Update Date
2014-01-01
Business Address
Mr. MACDALE JOHN ELWIN M.D
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-6494
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Mailing Address
Mr. MACDALE JOHN ELWIN M.D
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number:
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