Mid State Gastroenterology LLC
NPI #1235472424 in Freehold, New Jersey
Provider Information
- NPI Number
- 1235472424
- Entity Type
- Organization
- Organization Name
- Mid State Gastroenterology LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 5, 2013
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 800 W MAIN ST STE 111
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-2555
- Phone
- (732) 800-8950
Authorized Official
- Name
- DR. SHELLY LOWELL LUDWIG, MD
- Title
- PRESIDENT/OWNER
- Phone
- (732) 800-8950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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