# AXIS GASTROENTEROLOGY P.A.

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

## Provider details

- **NPI number:** 1578467932
- **Authorized official:** RANDA FODA (BUSINESS MANAGER)
- **Authorized official phone:** (609) 332-4731

## Contact information

- **Practice address:** 1939 MARLTON PIKE E, STE 250, CHERRY HILL, NJ 08003-4507
- **Practice address phone:** (856) 429-4433
- **Mailing address:** 1939 MARLTON PIKE E, STE 250, CHERRY HILL, NJ 08003-4507
- **Mailing address phone:** (856) 429-4433
- **Mailing address fax:** (856) 444-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026
