NPI | 1528311677 |
---|---|
Doing Business As | IRHS-GASTROENTEROLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | JEFFREY L SUSI President/CEO 772-567-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-26 |