Organization
NEW AGE GASTROENTEROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA L BALDEOSINGH M.D. (PRESIDENT)
(909) 654-2199
Entity
Organization
Contact information
Practice address
245 E REDLANDS BLVD STE K, SAN BERNARDINO, CA 92408-3760
(909) 654-2199
(909) 798-8765
Mailing address
PO BOX 8126, REDLANDS, CA 92375-1326
(909) 654-2199
(909) 798-8765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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