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
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