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1629010004
GERDA L. VAN DE VEGTE
STONY BROOK, NY
NPI
1629010004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085B0100X Radiology, Body Imaging
(Licence: NY 163824)
Enumeration Date
2006-06-12
Last Update Date
2010-04-28
Business Address
Dr. GERDA L. VAN DE VEGTE M.D.
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794-0001
Phone number: 631-444-6919
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Mailing Address
Dr. GERDA L. VAN DE VEGTE M.D.
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-6919
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