Organization
APEX GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADA SHAKOV MD (OWNER)
(732) 333-3747
Entity
Organization
Contact information
Practice address
501 IRON BRIDGE RD, SUITE 9, FREEHOLD, NJ 07728-5304
(732) 333-3747
Mailing address
501 IRON BRIDGE RD, SUITE 9, FREEHOLD, NJ 07728-5304
(732) 333-3747
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA08359100
NJ
Other
Enumeration date
07/05/2014
Last updated
06/12/2015
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