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Contact Information

GASTROENTEROLGY CENTER, PA
21 PLYMOUTH ST
MONTCLAIR, NJ07042-2607
 Phone: 973-746-5166
 Fax: 973-746-7922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GASTROENTEROLGY CENTER, PA

NPI # 1538147582
LBN Legal business name GASTROENTEROLGY CENTER, PA
Authorized official VICTOR GROISSER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2006
Last updated 06/08/2010 - About 16 years ago
Identifiers
NJ License # 25MA08496100
NJ License # MA-16509
NY Medicaid 8029903
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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