Basic Information
| Provider Information | |||||||||
| NPI: | 1235361643 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARGEN-MEDICAL, PLLC | ||||||||
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| OtherOrganizationName: | UNIVERSITY ASSOCIATES OF OBSTETRICS & GYNECOLOGY, UFPC | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 RESEARCH WAY STE 208B | ||||||||
| Address2: | |||||||||
| City: | EAST SETAUKET | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117336401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6316752125 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5225 ROUTE 347 STE 70 | ||||||||
| Address2: | |||||||||
| City: | PORT JEFFERSON STATION | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117762061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313318777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2009 | ||||||||
| LastUpdateDate: | 04/23/2019 | ||||||||
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| AuthorizedOfficialLastName: | SAN ROMAN | ||||||||
| AuthorizedOfficialFirstName: | GUSTAVO | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6313318777 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.