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NPI Code Detail

MEDICARE: BORO PARK GASTROENTEROLOGY ASSOCIATES PC

MEDICARE: BORO PARK GASTROENTEROLOGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1821142068
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORO PARK GASTROENTEROLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 1332 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 718-972-9115
Fax Number : 718-972-4461
Provider Business Practice Location Address
First Line : 1332 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 718-972-9115
Fax Number : 718-972-4461
Authorized Official
Title or Position : PRESIDENT
Name : DR. ELLIOTT FUHRER
Credential : MD
Telephone Number : 718-972-9115
Provider Enumeration Date : 01/23/2007
Last Update Date : 03/26/2018

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Directions to “BORO PARK GASTROENTEROLOGY ASSOCIATES PC ” Practice Location

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