Bergen Gastroenterology PC
NPI #1659799328 in Paramus, New Jersey
Provider Information
- NPI Number
- 1659799328
- Entity Type
- Organization
- Organization Name
- Bergen Gastroenterology PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Mar 31, 2014
- Last Updated
- Mar 31, 2014
Practice Location
- Address
- 1 W RIDGEWOOD AVE
- Address 2
- SUITE 301
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-2359
- Phone
- (201) 445-1660
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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