Organization
CONSULTANTS IN GASTROENTEROLOGY, SC
Active
Organization
CONSULTANTS IN GASTROENTEROLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E EFRUSY DO (PRESIDENT)
(219) 922-3040
Entity
Organization
Contact information
Practice address
701 SUPERIOR AVE, SUITE G, MUNSTER, IN 46321-4037
(219) 922-3041
(219) 922-3048
Mailing address
701 SUPERIOR AVENUE, SUITE G, MUNSTER, IN 46321
(219) 922-3041
(219) 922-3048
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02000882
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202290A
—
IN
Enumeration date
07/17/2006
Last updated
08/07/2012
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