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Organization

THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVAN A FRIEDRICH M.D. (PHYSICIAN/BOARD OF GOVERNORS)
(201) 569-7044
Entity
Organization

Contact information

Practice address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Mailing address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631
(201) 569-7044
(201) 569-1999

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA03997000
NJ

Other

Enumeration date
12/02/2013
Last updated
12/10/2013
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