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Individual

DIANA M GILLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 E ADAMS ST, REGIONAL ONCOLOGY CENTER, SYRACUSE, NY 13210-2342
(315) 464-8200
(315) 464-8206
Mailing address
750 E ADAMS ST, REGIONAL ONCOLOGY CENTER, SYRACUSE, NY 13210-2342
(315) 464-8200
(315) 464-8206

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
258866
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03271941
NY
Enumeration date
11/02/2006
Last updated
08/23/2013
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