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1124232939
CORINTHIAN MEDICAL IPA
NEW YORK, NY
NPI
1124232939
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Entity Type
Organization
Authorized Contact
RAMON MODESTO TALLAJ
President
212-740-8294
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2007-05-10
Last Update Date
2022-07-21
Business Address
CORINTHIAN MEDICAL IPA
481 FORT WASHINGTON AVE
NEW YORK, NY 10033-4654
Phone number: 212-740-8294
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Mailing Address
CORINTHIAN MEDICAL IPA
481 FORT WASHINGTON AVE
NEW YORK, NY 10033-4654
Phone number: 212-740-8294
Copy
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