FIRST STATE GASTROENTEROLOGY ASSOCIATION is a specialist in Dover, DE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FIRST STATE GASTROENTEROLOGY ASSOCIATION NPI is 1023406055. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
644 S QUEEN ST
STE 106
DOVER, DE
ZIP 19904-543
Phone: (302) 678-9002
Fax: (302) 678-9807
The provider's authorized official is Parag Lodhavia .
The authorized official title is President and has the following contact phone number (302) 678-9002.
The CLIA number assigned to this NPI record is 08D2091785 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/29/2014.