Organization
MARK J CORONEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. CORONEL PC OWNER (PHYSICIAN)
(631) 591-3000
Entity
Organization
Contact information
Practice address
34 COMMERCE AVE, RIVERHEAD, NY 11901-3118
(631) 591-3000
(631) 591-1734
Mailing address
34 COMMERCE AVE, RIVERHEAD, NY 11901-3118
(631) 591-3000
(631) 591-1734
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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