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Individual

DR. ELLEN REGINA GOMPRECHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
125 MILDLAND AVENUE, BRONXVILLE, NY 10708
(914) 584-1578
Mailing address
125 MILDLAND AVENUE, BRONXVILLE, NY 10708
(914) 584-1578

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161113-1
NY
207R00000X
Internal Medicine Physician
Primary
A 44828
CA

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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