NPI 1023406055

First State Gastroenterology Association

Organisation Specialist Dover, DE

Practice location

Address: 644 S Queen St STE 106, Dover, DE 19904-3543
Phone: (302) 678-9002
Fax: (302) 678-9807

Authorised official

Name: Parag Lodhavia
Title: President
Phone: (302) 678-9002

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence C10007287 (DE)

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Registry record

NPI: 1023406055
Entity type: Organization
NPI issued: 29 Dec 2014
Record last updated: 29 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.