Organization
RAJIV UPPAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA KETCHAM (BILLING MANAGER)
(732) 389-8400
Entity
Organization
Contact information
Practice address
122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
(212) 227-3670
Mailing address
122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
(212) 227-3670
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
174477-1
NY
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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