Organization
SOUTH JERSEY GASTROENTEROLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIYADH HAMMOD MD (PRESIDENT)
(856) 451-9395
Entity
Organization
Contact information
Practice address
1103 W SHERMAN AVE, BLDG 2 UNIT A, VINELAND, NJ 08360-6915
(856) 692-9900
(856) 692-9911
Mailing address
PO BOX 183, BRIDGETON, NJ 08302-0137
(856) 451-9395
(856) 451-8615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8752401
—
NJ
Enumeration date
09/11/2008
Last updated
09/15/2011
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