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Individual

DR. JAGRUTI PANKAJ GOHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
253432
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03123562
NY
01
A400013322
MEDICARE
NY
Enumeration date
03/21/2008
Last updated
09/22/2011
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