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Organization
GASTROENTEROLOGY ASSOCIATES OF ITHACA, PC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF ITHACA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T. BRENNAN MD (PRESIDENT)
(607) 272-5011
Entity
Organization
Contact information
Practice address
2435 N TRIPHAMMER RD, ITHACA, NY 14850-1047
(607) 272-5011
(607) 272-5861
Mailing address
2435 N TRIPHAMMER RD, ITHACA, NY 14850-1047
(607) 272-5011
(607) 272-5861
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
01/09/2013
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