Organization
GASTROENTEROLOGY CONSULTANTS OF TOMS RIVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R SUATENGCO MD (OWNER/PHYSICIAN)
(732) 341-7460
Entity
Organization
Contact information
Practice address
9 MULE RD, SUITE E15, TOMS RIVER, NJ 08755-5043
(732) 341-7460
(732) 914-9088
Mailing address
9 MULE RD, SUITE E15, TOMS RIVER, NJ 08755-5043
(732) 341-7460
(732) 914-9088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3372953
AETNA
NJ
Enumeration date
02/22/2006
Last updated
02/16/2015
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