Organization
MORRIS AVENUE ENDOSCOPY LLC
Active
Organization
MORRIS AVENUE ENDOSCOPY LLC
Active
Other names
Garden State Endoscopy Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO E RODRIGUEZ MD (MEDICAL DIRECTOR)
(908) 241-8900
Entity
Organization
Contact information
Practice address
200 SHEFFIELD ST STE 101, MOUNTAINSIDE, NJ 07092-2315
(908) 241-8900
(908) 241-8933
Mailing address
200 SHEFFIELD ST STE 101, MOUNTAINSIDE, NJ 07092-2315
(908) 241-8900
(908) 241-8933
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22724
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K3659
HEALTHNET
NJ
05
—
9061801
—
NJ
Enumeration date
01/22/2007
Last updated
09/28/2021
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