Organization
MONTCLAIR GASTROENTEROLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGBAEK CHARLES OH M.D. (OWNER)
(973) 748-9166
Entity
Organization
Contact information
Practice address
200 HIGHLAND AVE, SUITE 110, GLEN RIDGE, NJ 07028-1528
(973) 748-9166
(973) 748-1373
Mailing address
PO BOX 590, FRANKLIN LAKES, NJ 07417-0590
(973) 748-9166
(973) 748-1373
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA068787
NJ
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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