Organization · NPI-2

G Bhanusali MD PC

Orthopaedic Surgery · Middletown, NY

NPI number1700069242
StatusActive
Last updated in NPPESFeb 20, 2013

Details

NPI
1700069242
Entity type
Organization (NPI-2)
Legal business name
G Bhanusali MD PC
Organization subpart
No
Enumeration date
Dec 6, 2007
Last updated
Feb 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery153339-1NYYes

Practice location

15 Dunning Road
Suite 2
Middletown, NY 10940-2212

Phone 845-342-1553 · Fax 845-343-3723

Mailing address

15 Dunning Road
Suite 2
Middletown, NY 10940-2212

Phone 845-342-1553 · Fax 845-343-3723

Authorized official

Govindlal K Bhanusali
President
8453421553

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