Individual
DR. ISURU UDAYANGA WIJESINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
156 CORLISS AVE, STE 107, JOHNSON CITY, NY 13790
(607) 763-6735
Mailing address
156 CORLISS AVE, STE 107, JOHNSON CITY, NY 13790
(607) 763-6735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A14005
CA
207L00000X
Anesthesiology Physician
Primary
293869
NY
Other
Enumeration date
04/23/2013
Last updated
09/05/2018
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