Organization
GASTROENTEROLOGY & ADVANCED ENDOSCOPY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JACOB MD (PRESIDENT)
(561) 487-4110
Entity
Organization
Contact information
Practice address
9325 GLADES RD, SUITE 205, BOCA RATON, FL 33434-3988
(561) 487-4110
(561) 487-2939
Mailing address
9325 GLADES RD, SUITE 205, BOCA RATON, FL 33434-3988
(561) 487-4110
(561) 487-2939
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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