Organization
DENVILLE ASSOCIATES OF INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CLAIRE A SEMBLER (BILLING SUPERVISOR)
(973) 627-2654
Entity
Organization
Contact information
Practice address
16 POCONO ROAD, SUITE 317, DENVILLE, NJ 07834
(973) 627-2650
(973) 627-8383
Mailing address
16 POCONO ROAD, SUITE 317, DENVILLE, NJ 07834
(973) 627-2650
(973) 627-8383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113509001
AMERIHEALTH
NJ
01
—
041164
AETNA
—
05
—
2557908
—
NJ
01
—
CB9983
RR MEDICARE
NJ
Enumeration date
05/08/2006
Last updated
01/14/2015
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