Organization
ADVANCED GASTROINTESTINAL SPECIALISTS, P.C.
Active
Organization
ADVANCED GASTROINTESTINAL SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE T MERLIE (PRACTICE ADMINISTRATOR)
(856) 772-1600
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, BUILDING 800 SUITE 110, VOORHEES, NJ 08043-4501
(856) 772-1600
(856) 772-9031
Mailing address
2301 E EVESHAM RD, BUILDING 800 SUITE 110, VOORHEES, NJ 08043-4501
(856) 772-1600
(856) 772-9031
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120375
—
NJ
01
—
DF3606
MEDICARE RR
NJ
Enumeration date
11/01/2006
Last updated
10/26/2007
Update your record
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