Organization
GAURAV K GOSWAMI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV K GOSWAMI M.D. (PRESIDENT)
(714) 990-4374
Entity
Organization
Contact information
Practice address
2284 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1362
(714) 990-4374
(714) 990-4376
Mailing address
PO BOX 8755, BREA, CA 92822-5755
(714) 990-4374
(714) 990-4376
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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