Organization
GASTROENTEROLOGY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN PORT (DELEGATED OFFICIAL)
(201) 868-2849
Entity
Organization
Contact information
Practice address
142 PALISADE AVE, SUITE 201, JERSEY CITY, NJ 07306-1133
(201) 792-7788
Mailing address
9223 KENNEDY BLVD, SUITE D, NORTH BERGEN, NJ 07047-5359
(201) 868-2849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04429400
NJ
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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