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Individual

DR. ISHWAR HAKUMAL GOPICHAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
118 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 577-1150
Mailing address
PO BOX 986513, DEPARTMENT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9600796
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8936271
NC
Enumeration date
05/19/2006
Last updated
11/03/2023
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