Organization
ATLANTIC GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Organization
ATLANTIC GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY PAUL KAUFMAN MD (PRESIDENT)
(609) 407-1220
Entity
Organization
Contact information
Practice address
3205 FIRE RD, SUITE 4, EGG HARBOR TOWNSHIP, NJ 08234-5857
(609) 407-1220
(609) 407-0220
Mailing address
3205 FIRE RD, SUITE 4, EGG HARBOR TOWNSHIP, NJ 08234-5857
(609) 407-1220
(609) 407-0220
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222485119
JOHN CHIESA INDIVIDUAL TI
—
01
—
25MA01893500
LEE P ROSKY STATE LICENSE
NJ
01
—
25MA03429200
BARRY P KAUFMAN STATE LIC
NJ
01
—
25MA03637500
NIKHILESH D MEHTA STATE L
NJ
01
—
25MA03908500
JOSEPH L SPAAR STATE LICE
NJ
01
—
25MA04967400
GARY A ROSMAN STATE LICEN
NJ
01
—
25MA05301400
HOWARD N GARSON STATE LIC
NJ
01
—
25MB02888400
JOHN CHIESA STATELICENSE
NJ
01
—
25MB03629600
JOHN J SANTORO STATE LICE
NJ
05
—
2959305
—
NJ
Enumeration date
07/20/2006
Last updated
08/26/2009
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