# JERSEY SHORE GASTOENTEROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043741663
- **Authorized official:** DR. JOEL KRACHMAN (MEMBER)
- **Authorized official phone:** (609) 645-1880

## Contact information

- **Practice address:** 2500 ENGLISH CREEK AVE, SUITE 903, EGG HARBOR TOWNSHIP, NJ 08234-5549
- **Practice address phone:** (609) 645-1880
- **Mailing address:** 2500 ENGLISH CREEK AVE, SUITE 903, EGG HARBOR TOWNSHIP, NJ 08234-5549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MB05159800 | NJ | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017