Gastroenterology Medical Associates
NPI #1457393803 in North Bergen, New Jersey
Provider Information
- NPI Number
- 1457393803
- Entity Type
- Organization
- Organization Name
- Gastroenterology Medical Associates
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Sep 28, 2007
Practice Location
- Address
- 9223 KENNEDY BLVD
- Address 2
- SUITE D
- City
- North Bergen
- State
- New Jersey
- ZIP Code
- 07047-5322
- Phone
- (201) 868-2849
Authorized Official
- Name
- ALAN PORT
- Title
- DELEGATED OFFICIAL
- Phone
- (201) 898-2849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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