Organization
SETAUKET MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESHAM M ATWA M.D. (OWNER)
(631) 476-9296
Entity
Organization
Contact information
Practice address
4 TECHNOLOGY DR, SUITE 220, EAST SETAUKET, NY 11733-4080
(631) 964-9581
(631) 476-9298
Mailing address
4 TECHNOLOGY DR, SUITE 220, EAST SETAUKET, NY 11733-4080
(631) 964-9581
(631) 476-9298
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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