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1194468231
GEORGE SLADE MELLGARD
NEW YORK, NY
NPI
1194468231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-17
Last Update Date
2022-04-17
Business Address
GEORGE SLADE MELLGARD MD
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-6262
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Mailing Address
GEORGE SLADE MELLGARD MD
300 E 56TH ST APT 15J
NEW YORK, NY 10022-4127
Phone number: 917-399-0769
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