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NPI Code Detail

MEDICARE: DR. CONRADO A TOJINO SR. M.D.

MEDICARE:  DR. CONRADO A TOJINO SR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist108443NY

General Provider Information

NPI Number : 1063588390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONRADO A TOJINO SR. M.D.
Provider Business Mailing Address
First Line : 600 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6524
Country : US
Telephone Number : 845-561-1538
Fax Number :
Provider Business Practice Location Address
First Line : 600 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6524
Country : US
Telephone Number : 845-561-1538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/09/2007

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Directions to “ DR. CONRADO A TOJINO SR. M.D.” Practice Location

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