Individual
DR. RICHARD M GEWANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N VILLAGE AVE, MEMORIAL SLOAN-KETTERING CANCER CENTER, ROCKVILLE CENTRE, NY 11570-1000
(516) 256-3600
(516) 256-1644
Mailing address
1000 N VILLAGE AVE, MEMORIAL SLOAN-KETTERING CANCER CENTER, ROCKVILLE CENTRE, NY 11570-1000
(516) 256-3600
(516) 256-1644
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
209945-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375588
—
NY
Enumeration date
05/23/2006
Last updated
04/25/2008
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