| NPI | 1750620001 |
|---|---|
| Other Name | HQMP POUGH. 21 READE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | GLEN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-05-01 |