Organization
GASTROENTEROLOGY ASSOCIATES OF MANCHESTER, LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF MANCHESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GARY SCHWARTZ M.D. (OWNER)
(860) 643-8000
Entity
Organization
Contact information
Practice address
360 TOLLAND TPKE, SUITE 2C, MANCHESTER, CT 06042-1771
(860) 643-8000
(860) 647-7124
Mailing address
360 TOLLAND TURNPIKE, SUITE 2C, MANCHESTER, CT 06040
(860) 643-8000
(860) 647-7124
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
021190
CT
363LA2200X
Adult Health Nurse Practitioner
003443
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001211903
—
CT
Enumeration date
12/05/2007
Last updated
12/05/2007
Update your record
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