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Contact Information

MIDDLESEX MONMOUTH GASTROENTEROLOGY
222 SCHANCK RD STE 302
FREEHOLD TOWNSHIP, NJ07728-2974
 Phone: 732-577-1999
 Fax: 732-845-5356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MIDDLESEX MONMOUTH GASTROENTEROLOGY · (Female)

NPI Number 1003977489
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 7110901
  • NJ Other 31D0124927 CLIA
  • NJ Other 583237 MEDICARE GROUP ID- MIDDLESEX COUNTY OFFICES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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