Individual
DR. RAJKUMAR G MARIWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 MONTAUK HWY, SUITE #3, WEST ISLIP, NY 11795-4939
(631) 669-1171
(631) 669-1912
Mailing address
1111 MONTAUK HWY, SUITE #3-1, WEST ISLIP, NY 11795-4910
(631) 669-1171
(631) 669-1912
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
143127
NY
Other
Enumeration date
01/02/2006
Last updated
01/08/2014
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