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1598792616
MORDECAI BLUTH
MASSAPEQUA, NY
NPI
1598792616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 097883)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Dr. MORDECAI BLUTH M.D.
187 VETERAN'S BLVD
MASSAPEQUA, NY 11758
Phone number: 718-815-1000
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Mailing Address
Dr. MORDECAI BLUTH M.D.
302 MANOR RD
STATEN ISLAND, NY 10314-2408
Phone number: 718-815-1000
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