| NPI | 1336605385 |
|---|---|
| Other Name | HQMP NMG POUGH. GI |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |