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Organization
JERSEY SHORE GASTROENTEROLOGY
Active
Organization
JERSEY SHORE GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRACHMAN (MANAGING MEMBER)
(609) 703-5097
Entity
Organization
Contact information
Practice address
408 BETHEL RD, SUITE E, SOMERS POINT, NJ 08244-2172
(609) 926-3330
Mailing address
408 BETHEL RD, SUITE E, SOMERS POINT, NJ 08244-2172
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA05716700
NJ
Other
Enumeration date
10/26/2016
Last updated
11/21/2016
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