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Organization

CONSULTANT IN DIGESTIVE AND LIVER DISEASES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASHED G. BOTROS M.D. (PRESIDENT)
(732) 967-9595
Entity
Organization

Contact information

Practice address
37 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 967-9595
(733) 296-7071
Mailing address
37 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 967-9595
(733) 296-7071

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59776
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6290205
NJ
Enumeration date
07/12/2007
Last updated
07/12/2007
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