Organization
GASTROENTEROLOGY ASSOCIATES OF BROOKLYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN WALL MD (OWNER)
(718) 336-3900
Entity
Organization
Contact information
Practice address
1723 E 12TH ST, BROOKLYN, NY 11229-1069
(718) 336-3900
(718) 336-3990
Mailing address
1723 E 12TH ST, BROOKLYN, NY 11229-1069
(718) 336-3900
(718) 336-3990
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/27/2013
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