National Provider Identifier Database

SPARTA GASTROENTEROLOGY LLC
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

SPARTA GASTROENTEROLOGY LLC
376 LAFAYETTE RD
SUITE 101
SPARTA TOWNSHIP, NJ07871
Phone: 973-579-3174
Fax: 973-579-2961
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for SPARTA GASTROENTEROLOGY LLC

NPI Number 1245424696
Legal business name
LBN
SPARTA GASTROENTEROLOGY LLC
Authorized official DMITRY MYSH - (MD OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/29/2007
Last updated 12/03/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA065097
  • NJ Medicaid: 8503206

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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