Raymond J Gotanco M.D.

NPI 1679525505 - Internal Medicine - 207R00000X

NPI Details
NPI 1679525505
Gender Male
Enumeration Date 05/17/2006
Last Updated 01/29/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
8450 NORTHWEST BLVD
INDIANAPOLIS IN, 46278-1381, US
Phone (317) 802-2000
Fax (317) 802-2170
Business Location
8450 NORTHWEST BLVD
INDIANAPOLIS IN, 46278-1381, US
Phone (317) 802-2000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01055908A
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According to our database, Raymond J Gotanco M.D. NPI is 1679525505, taxonomy code is 207R00000X and license number is 01055908A, license state is located at Indiana. Raymond J Gotanco M.D. physically located at 8450 Northwest Blvd, Indianapolis IN, 46278-1381. NPI Number Raymond J Gotanco M.D. has the Individual type.

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1679525505 NPI number is provided on an as is basis without warranty of any kind. 1679525505 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond J Gotanco M.D. are for informational purposes only.