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Individual

DR. BOGDAN CALIN VATRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 EUCLID AVENUE, CORTLAND, NY 13045-1257
(607) 756-9470
Mailing address
6 EUCLID AVENUE, CORTLAND, NY 13045-1257
(607) 756-9470

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241854
NY
207RG0100X
Gastroenterology Physician
241854
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02825107
NY
Enumeration date
10/10/2006
Last updated
03/21/2012
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