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1457770190
CARLOS A GONGORA
NEW YORK, NY
NPI
1457770190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-09
Last Update Date
2014-04-09
Business Address
Dr. CARLOS A GONGORA MD
1111 AMSTERDAM AVE PLANT BUILDING SUITE 2050
NEW YORK, NY 10025-1716
Phone number: 212-523-2154
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Mailing Address
Dr. CARLOS A GONGORA MD
501 LINWOOD DR APT 4A
FORT LEE, NJ 07024-3658
Phone number: 617-955-2432
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