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Organization

FIROOZ RAVANGARD, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FIROOZ RAVANGARD MD (PRESIDENT)
(315) 724-7734
Entity
Organization

Contact information

Practice address
1656 CHAMPLIN AVE STE 222, UTICA, NY 13502-4830
(315) 724-7734
(315) 724-7816
Mailing address
1656 CHAMPLIN AVE STE 222, UTICA, NY 13502-4830
(315) 724-7734
(315) 724-7816

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
147007
NY

Other

Enumeration date
11/21/2006
Last updated
07/01/2010
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