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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