Organization
GASTROENTEROLOGY ASSOC. OF NORTH JERSEY
Active
Organization
GASTROENTEROLOGY ASSOC. OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY S. BENEROFE M.D. (PRESIDENT)
(973) 361-7660
Entity
Organization
Contact information
Practice address
369 W BLACKWELL ST, DOVER, NJ 07801-2560
(973) 361-7660
(973) 361-0455
Mailing address
369 W BLACKWELL ST, DOVER, NJ 07801-2560
(973) 361-7660
(973) 361-0455
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6694004
—
NJ
Enumeration date
06/21/2006
Last updated
08/22/2020
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