Organization
VANGUARD GASTROENTEROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA YAKUTILOVA (MANAGER)
(212) 889-5544
Entity
Organization
Contact information
Practice address
233 BROADWAY RM 2750, NEW YORK, NY 10279-2704
(212) 889-5544
(212) 481-1089
Mailing address
232 E 30TH ST, NEW YORK, NY 10016-8202
(212) 725-6768
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
07/13/2023
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