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Physicians Internal Medicine Gastroenterology

Provider NPI: 1275737652

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 302-629-5193  Fax: 302-629-4273

Business Mailing Address:
Tel: 302-629-5193  Fax: 302-629-4273

NPI Information:
NPI: 1275737652
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RG0100X





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