Organization
PEDSGASTRO CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABEENA FARHATH MD (OWNER)
(856) 874-6500
Entity
Organization
Contact information
Practice address
2123 KLOCKNER RD, HAMILTON, NJ 08690-3417
(609) 586-7337
(609) 586-7338
Mailing address
15 LYNCH RD, VOORHEES, NJ 08043-4116
(856) 874-6500
(856) 874-0512
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA08176100
NJ
Other
Enumeration date
01/27/2012
Last updated
02/01/2012
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