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General NPI Number Information
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NPI Number | 1437244464
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Entity Type | Organization
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Legal Business Name | AJAY GOEL PHYSICIAN PC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 91 PERIMETER RD STE 120
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City | ROME
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State | NY
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Zip | 13441-4018
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Country | US
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Telephone | 315-337-0539
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Fax | 315-337-0645
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Provider Business Mailing Address
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Address Line | 91 PERIMETER RD STE 120
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City | ROME
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State | NY
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Zip | 13441-4018
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Country | US
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Telephone | 315-725-8653
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Fax | 315-337-0645
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAVITA GOEL
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Credential |
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Telephone | 315-337-0539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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