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1619917960
GUSTAVO SANROMAN
PORT JEFFERSON STATION, NY
NPI
1619917960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 173068)
Enumeration Date
2006-06-07
Last Update Date
2022-05-03
Business Address
GUSTAVO SANROMAN M.D.
5225 ROUTE 347 SUITE 70
PORT JEFFERSON STATION, NY 11776-2053
Phone number: 800-645-3203
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Mailing Address
GUSTAVO SANROMAN M.D.
45 RESEARCH WAY STE 105
EAST SETAUKET, NY 11733-6401
Phone number: 631-675-2125
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