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Organization

SOUTH JERSEY GASTROENTEROLOGY PA

Active
Parent organization
SOUTH JERSEY GASTROENTEROLOGY PA
Other names
Anesthesia Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH JERSEY GASTROENTEROLOGY PA
Authorized official
DR. STEVEN LIAKOS D.O. (PRESIDENT)
(856) 983-1900
Entity
Organization

Contact information

Practice address
93 COOPER RD, SUITE 100, VOORHEES, NJ 08043-4910
(856) 770-1920
(856) 770-1925
Mailing address
406 LIPPINCOTT DR, SUITE E, MARLTON, NJ 08053-4168
(856) 983-1900
(856) 983-1914

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
04/10/2008
Last updated
09/11/2013
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