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NPI Code Detail

MEDICARE: ORANGE DERMATOLOGY ASSOCIATES, PC

MEDICARE: ORANGE DERMATOLOGY ASSOCIATES, PC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1770562175
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORANGE DERMATOLOGY ASSOCIATES, PC
Provider Business Mailing Address
First Line : 503 ROUTE 208
Second Line :
City : MONROE
State : NY
Zip : 10950-1619
Country : US
Telephone Number : 845-783-2920
Fax Number : 845-783-2916
Provider Business Practice Location Address
First Line : 503 ROUTE 208
Second Line :
City : MONROE
State : NY
Zip : 10950-1619
Country : US
Telephone Number : 845-783-2920
Fax Number : 845-783-2916
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH TUCHMAN
Credential : MD
Telephone Number : 845-783-2918
Provider Enumeration Date : 01/13/2006
Last Update Date : 08/22/2020

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