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1124057377
JACK MAIDMAN
NEW YORK, NY
NPI
1124057377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: NY 097340-1)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
-- JACK MAIDMAN M.D.
161 FORT WASHINGTON AVE
NEW YORK, NY 10032-3729
Phone number: 212-305-7334
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Mailing Address
-- JACK MAIDMAN M.D.
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-6293
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