Organization
SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC
Active
Organization
SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC
Active
Other names
SJPEDGI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TUNG MD (OWNER)
(609) 625-8688
Entity
Organization
Contact information
Practice address
5429 HARDING HWY, SUITE 302, MAYS LANDING, NJ 08330-2263
(609) 625-8688
(609) 625-4162
Mailing address
5429 HARDING HWY, SUITE 302, MAYS LANDING, NJ 08330-2263
(609) 625-8688
(609) 625-4162
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA0719400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8007101
—
NJ
Enumeration date
05/06/2008
Last updated
05/06/2008
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