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UPPER DELAWARE VALLEY INFECTIOUS DISEASES, P.C.

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Company Details

Name: UPPER DELAWARE VALLEY INFECTIOUS DISEASES, P.C.
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Sep 2009 (16 years ago)
Entity Number: 3860151
ZIP code: 18431
County: Sullivan
Place of Formation: Pennsylvania
Address: 46 MILLER DR., BETHANY, PA, United States, 18431

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 46 MILLER DR., BETHANY, PA, United States, 18431

National Provider Identifier

NPI Number:
1033445481

Authorized Person:

Name:
DR. GARY R. GOOD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8457946816

Filings

Filing Number Date Filed Type Effective Date
090924000831 2009-09-24 APPLICATION OF AUTHORITY 2009-09-24

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State