| NPI | 1720309925 |
|---|---|
| Doing Business As | GLOUCESTER GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-01-23 |