Individual
DR. KUMUD GUGLIADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2010
(718) 876-2012
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2010
(718) 876-2012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
183879
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01397406
—
NY
Enumeration date
12/27/2005
Last updated
04/08/2015
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