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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