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Individual

GAGAN JAGDISH GULATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 PARSONS BOULEVARD, FLUSHING HOSPITAL AND MEDICAL CENTER, FLUSHING, NY 11355
(718) 670-5000
(610) 617-6280
Mailing address
PO BOX 13700-1420, FLUSHING HOSPITAL AND MEDICAL CENTER, PHILADELPHIA, PA 19191-1420
(800) 777-2455
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
214934
NY
208000000X
Pediatrics Physician
Primary
214934
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02116741
NY
Enumeration date
05/17/2006
Last updated
05/29/2024
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