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1902088495
MEETING HOUSE LANE MEDICAL PRACTICE PC
SOUTHAMPTON, NY
NPI
1902088495
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Entity Type
Organization
Authorized Contact
FREDRICK I WEINBAUM
President
631-726-8332
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-11-27
Last Update Date
2016-11-10
Business Address
MEETING HOUSE LANE MEDICAL PRACTICE PC
57 HAMPTON RD SUITE 201
SOUTHAMPTON, NY 11968-4973
Phone number: 631-283-2430
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Mailing Address
MEETING HOUSE LANE MEDICAL PRACTICE PC
57 HAMPTON RD SUITE 201
SOUTHAMPTON, NY 11968-4973
Phone number: 631-283-2430
Copy
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