First State Gastroenterology Association

NPI #1023406055 in Dover, Delaware

Provider Information

NPI Number: 1023406055
Entity Type: Organization
Organization Name: First State Gastroenterology Association
Primary Specialty: Specialist
Enumeration Date: Dec 29, 2014
Last Updated: Dec 29, 2014

Practice Location

Address: 644 S QUEEN ST
Address 2: STE 106
City: Dover
State: Delaware
ZIP Code: 19904-3543
Phone: (302) 678-9002

Authorized Official

Name: PARAG LODHAVIA, M.D.
Title: PRESIDENT
Phone: (302) 678-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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