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Organization

CORTLAND GI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOGDAN VATRA (SOLE PROPRIETOR)
(607) 756-9470
Entity
Organization

Contact information

Practice address
6 EUCLID AVE, CORTLAND, NY 13045-1257
(607) 756-9470
(607) 756-7048
Mailing address
6 EUCLID AVE, CORTLAND, NY 13045-1257
(607) 756-9470
(607) 756-7048

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
363A00000X
Physician Assistant

Other

Enumeration date
07/07/2015
Last updated
07/24/2015
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