Sparta Gastroenterology LLC
NPI #1245424696 in Sparta, New Jersey
Provider Information
- NPI Number
- 1245424696
- Entity Type
- Organization
- Organization Name
- Sparta Gastroenterology LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Aug 29, 2007
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 376 LAFAYETTE RD
- Address 2
- SUITE 101
- City
- Sparta
- State
- New Jersey
- ZIP Code
- 07871
- Phone
- (973) 579-3174
Authorized Official
- Name
- DMITRY MYSH, MD
- Title
- MD OWNER
- Phone
- (973) 579-3174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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