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Organization
HAGERSTOWN GASTROENTEROLOGY CP CHOUDARI PA
Active
Organization
HAGERSTOWN GASTROENTEROLOGY CP CHOUDARI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINTAMANENI P CHOUDARI MD (OWNER)
(240) 422-6210
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742-6728
(240) 422-6210
Mailing address
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742-6728
(240) 422-6210
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
11/06/2019
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