Individual
DR. ASHISH AGARWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
625 BELLE TERRE RD, SUITE 202, PORT JEFFERSON, NY 11777-2316
(631) 689-0220
(631) 686-7626
Mailing address
625 BELLE TERRE RD, SUITE 202, PORT JEFFERSON, NY 11777-2316
(631) 689-0220
(631) 686-7626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102202375
VA
208600000X
Surgery Physician
Primary
252470-1
NY
Other
Enumeration date
05/01/2009
Last updated
07/27/2010
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