Organization
GASTROINTESTINAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LOBEL (MANAGER)
(201) 444-2600
Entity
Organization
Contact information
Practice address
140 CHESTNUT ST, RIDGEWOOD, NJ 07450-2599
(201) 444-2600
(201) 444-9471
Mailing address
140 CHESTNUT ST, RIDGEWOOD, NJ 07450-2599
(201) 444-2600
(201) 444-9471
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF1672
RAILROAD MEDICARE
NJ
Enumeration date
02/07/2008
Last updated
03/23/2011
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