Organization
DIGESTIVE DISEASES & NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROM M GUPTA MD (OWNER)
(516) 330-6615
Entity
Organization
Contact information
Practice address
175 61 HILLSIDE AVE, STE 402, JAMAICA ESTATES, NY 11432-5796
(718) 291-0488
(718) 291-0888
Mailing address
175 61 HILLSIDE AVE, STE 402, JAMAICA ESTATES, NY 11432-5796
(516) 330-6615
(718) 291-0888
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
189770
NY
Other
Enumeration date
03/03/2008
Last updated
11/05/2020
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