Registry details
Type
Individual
Primary specialty
Internal Medicine, Gastroenterology
Enumerated
Apr 2, 2014
License(s)
291049 (NY), 0101263469 (VA), 291049 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 748613 | Atlanta, GA 30374-8613 | 434-295-1000 |
| LOCATION | 8700 SUDLEY RD | Manassas, VA 20110-4418 | 703-369-8000 |
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