Organization
CENTER FOR DIGESTIVE DISEASES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIAPPAN MUTHUSAMY M.D. (PRESIDENT)
(908) 688-6565
Entity
Organization
Contact information
Practice address
695 CHESTNUT ST, UNION, NJ 07083-9302
(908) 688-6565
(908) 688-3161
Mailing address
695 CHESTNUT ST, UNION, NJ 07083-9302
(908) 688-6565
(908) 688-3161
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3354202
—
NJ
Enumeration date
05/02/2006
Last updated
12/31/2007
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