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Organization

NJ-NY GASTROENTEROLOGY ASSOCIATE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WINNIE CHAN (OFFICE MANAGER)
(718) 567-8808
Entity
Organization

Contact information

Practice address
1 BRIDGE ST, 211 BUILDING D, METUCHEN, NJ 08840-2273
(732) 902-2821
(732) 902-2822
Mailing address
730 58TH ST, BROOKLYN, NY 11220-3917
(718) 567-8808
(718) 567-8820

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA08744000
NJ
174400000X
Specialist
Primary
25MA09606000
NJ
174400000X
Specialist
25MA09610400
NJ

Other

Enumeration date
03/31/2015
Last updated
04/10/2015
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