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Contact Information

GUSTAVO SANROMAN, MD
5225 ROUTE 347
SUITE 70
PORT JEFFERSON STATION, NY11776-2053
 Phone: 800-645-3203
 Fax: 631-474-9169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GUSTAVO SANROMAN · (Male)

NPI # 1619917960
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 05/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 173068
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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