Individual
GUSTAVO SANROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5225 ROUTE 347, SUITE 70, PORT JEFFERSON STATION, NY 11776-2053
(800) 645-3203
(631) 474-9169
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2628
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
173068
NY
Other
Enumeration date
06/07/2006
Last updated
05/03/2022
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