Organization
MIDDLESEX GASTEROENTOLOGY PC
Active
Parent organization
MIDDLESEX GASTROENTEROLOGY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX GASTROENTEROLOGY PC
Authorized official
RAJ DEUARAJAN MD (PRESIDENT)
(975) 429-2010
Entity
Organization
Contact information
Practice address
190 GROTON RD, 190, AYER, MA 01432-3205
(978) 772-3547
(978) 772-0558
Mailing address
190 GROTON RD, SUITE 190, AYER, MA 01432-3205
(978) 772-3547
(978) 772-0558
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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