Individual
JOSE R SUATENGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 MULE RD, SUITE E15, TOMS RIVER, NJ 08755-5043
(732) 341-7460
(732) 914-9088
Mailing address
9 MULE RD, SUITE E15, TOMS RIVER, NJ 08755-5043
(732) 341-7460
(732) 914-9088
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA05308000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3372919
AETNA
NJ
05
—
5270006
—
NJ
Enumeration date
02/22/2006
Last updated
01/17/2019
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