Individual
DR. JAMES GAETAN MARIADASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 1ST AVE, DEPARTMENT OF SURGERY,METROPOLITAN HOSPITAL, NEW YORK, NY 10029-7404
(212) 423-6614
(212) 423-7913
Mailing address
401 E 86TH ST, APT 5J, NEW YORK, NY 10028-6403
(212) 600-0455
(212) 600-4035
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
150217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01037443
—
NY
Enumeration date
10/24/2006
Last updated
07/08/2007
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