Organization
CAMBRIA GASTROENTEROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRA L. KOUL M.D. (OWNER)
(814) 525-1500
Entity
Organization
Contact information
Practice address
970 FRANKLIN ST, JOHNSTOWN, PA 15905-4107
(814) 535-1500
(814) 536-5648
Mailing address
970 FRANKLIN ST, JOHNSTOWN, PA 15905-4107
(814) 535-1500
(814) 536-5648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037398L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007478920001
—
PA
Enumeration date
03/30/2007
Last updated
03/19/2009
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