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Organization

GARG PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANJAY GARG M.D. (OWNER)
(765) 716-4995
Entity
Organization

Contact information

Practice address
215 S HUTCHINSON AVE, MUNCIE, IN 47303-4774
(765) 716-4995
Mailing address
7209 W AUGUSTA BLVD, YORKTOWN, IN 47396-9351
(765) 716-4995

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01058382A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200465180
IN
05
200465710
IN
Enumeration date
04/13/2015
Last updated
04/13/2015
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