Organization
ADVANCED GASTROENTEROLOGY OF NORTHERN NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R ROSENDORF MD (OWNER)
(973) 864-6029
Entity
Organization
Contact information
Practice address
521 ROUTE 515, SUITES 3 & 4, VERNON, NJ 07462-3033
(973) 864-6029
(973) 864-1010
Mailing address
100 SUMMIT AVE, MONTCLAIR, NJ 07043-2223
(973) 864-6029
(973) 867-1010
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07335100
NJ
Other
Enumeration date
01/28/2011
Last updated
03/25/2011
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