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Organization

THE TRUSTEES OF COLUMBIA IN THE CITY OF NY DIGESTIVE AND LIVER DISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK MCDOUGLE (SVP/CHIEF OPERATING OFFICER)
(212) 305-6607
Entity
Organization

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 342-5155
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725

Taxonomy

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

Other

Enumeration date
04/10/2007
Last updated
02/26/2013
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