Organization
GASTRO SPECIALISTS LLC
Active
Organization
GASTRO SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T HYMANSON D.O. (OWNER)
(732) 634-1221
Entity
Organization
Contact information
Practice address
453 AMBOY AVE, WOODBRIDGE, NJ 07095-2960
(732) 634-1221
(732) 634-1290
Mailing address
52 AMAGANSETT DR, MORGANVILLE, NJ 07751-1184
(732) 634-1221
(732) 634-1290
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB05137100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8221901
—
NJ
Enumeration date
07/22/2006
Last updated
08/22/2020
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