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Organization
ISLAND GASTROENTEROLOGY CONSULTANTS PC
Active
Organization
ISLAND GASTROENTEROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ MARIWALLA MD (GASTROENTEROLOGIST)
(631) 669-1171
Entity
Organization
Contact information
Practice address
1111 MONTAUK HWY, 3RD FLOOR, WEST ISLIP, NY 11795-4910
(631) 669-1171
(631) 669-1912
Mailing address
1111 MONTAUK HWY, 3RD FLOOR, WEST ISLIP, NY 11795-4910
(631) 669-1171
(631) 669-1912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
143127
NY
Other
Enumeration date
07/08/2006
Last updated
01/25/2016
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