Individual
GEORGE GOGOLADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-5433
Mailing address
9913 3RD AVE, BROOKLYN, NY 11209-7935
(917) 400-3186
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
267411
NY
Other
Enumeration date
07/26/2007
Last updated
08/25/2016
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