National Provider Identifier Database

GASTROENTEROLGY CENTER PA
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

GASTROENTEROLGY CENTER, PA
21 PLYMOUTH ST
MONTCLAIR, NJ07042-2607
Phone: 973-746-5166
Fax: 973-746-7922
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for GASTROENTEROLGY CENTER, PA

NPI Number 1538147582
Legal business name
LBN
GASTROENTEROLGY CENTER, PA
Authorized official VICTOR GROISSER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/09/2006
Last updated 06/08/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA08496100
  • NJ License #: MA-16509
  • NY Medicaid: 8029903

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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