# SOUTH JERSEY ENDOSCOPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIMARINO-KROOP-PRIETO GI ASSOC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689633588
- **Authorized official:** DR. MITCHELL I CONN MD (ASC ADMINISTRATOR)
- **Authorized official phone:** (856) 848-4464

## Contact information

- **Practice address:** 26 EAST RED BANK AVE, WOODBURY, NJ 08096-1630
- **Practice address phone:** (856) 848-4464
- **Practice address fax:** (856) 848-7023
- **Mailing address:** 26 EAST RED BANK AVE, WOODBURY, NJ 08096-1630
- **Mailing address phone:** (856) 848-4464
- **Mailing address fax:** (856) 848-7023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AAAHC | NJ | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 08/18/2009