National Provider Identifier Database

MIDDLESEX MONMOUTH GASTROENTEROLOGY
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


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
* Gastroenterology 207RG0100X
Anatomic Pathology & Clinical Pathology 207ZP0102X
Anesthesiology 207L00000X

* Indicates primary specialty

NPI Profile & details for MIDDLESEX MONMOUTH GASTROENTEROLOGY

NPI Number 1003977489
Legal business name
LBN
MIDDLESEX MONMOUTH GASTROENTEROLOGY
Authorized official SUSAN DEBARD - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/12/2006
Last updated 03/29/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 7110901
  • NJ Other: 31D0124927 CLIA
  • NJ Other: 583237 MEDICARE GROUP ID- MIDDLESEX COUNTY OFFICES

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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