Provider Demographics
NPI:1912045972
Name:ASSOCIATES IN GASTROENTEROLOGY PC
Entity Type:Organization
Organization Name:ASSOCIATES IN GASTROENTEROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATWARDHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-755-1712
Mailing Address - Street 1:10 WINTHROP ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4435
Mailing Address - Country:US
Mailing Address - Phone:508-755-1712
Mailing Address - Fax:508-755-7190
Practice Address - Street 1:10 WINTHROP ST
Practice Address - Street 2:SUITE 212
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4435
Practice Address - Country:US
Practice Address - Phone:508-755-1712
Practice Address - Fax:508-755-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA41745207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA68021Medicare UPIN