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Individual

ARAIN MOHAMMAD NAWAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 BELLE TERRE RD, SUITE 1, PORT JEFFERSON, NY 11777-2500
(631) 928-0240
(631) 928-0855
Mailing address
620 BELLE TERRE RD, SUITE 1, PORT JEFFERSON, NY 11777-2500
(631) 928-0240
(631) 928-0855

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
124365
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00442388
NY
Enumeration date
10/21/2005
Last updated
03/28/2008
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