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Individual

ISABELLE M VONALTHEN-DAGUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4064
(631) 444-5220
(631) 444-5225
Mailing address
3 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4064
(631) 444-5220
(631) 444-5225

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
231934
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02223614
NY
Enumeration date
07/27/2006
Last updated
02/29/2008
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