Organization
PRINCETON GASTROENTEROLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN OSIAS MD (PRESIDENT)
(609) 924-1422
Entity
Organization
Contact information
Practice address
731 ALEXANDER RD, SUITE 100, PRINCETON, NJ 08540-6345
(609) 924-1422
(609) 924-7473
Mailing address
731 ALEXANDER RD, SUITE 100, PRINCETON, NJ 08540-6345
(609) 924-1422
(609) 924-7473
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0821011000
AMERIHEALTH
—
01
—
57811
AETNA
—
01
—
CE7422
MEDICAID FOR RR
—
Enumeration date
08/09/2005
Last updated
07/21/2022
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