Organization
GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA M JOHNSON (PRACTICE MANAGER)
(732) 886-1007
Entity
Organization
Contact information
Practice address
475 ROUTE 70, SUITE 103, LAKEWOOD, NJ 08701-5897
(732) 886-1007
(732) 886-0807
Mailing address
475 ROUTE 70, SUITE 103, LAKEWOOD, NJ 08701-5897
(732) 886-1007
(732) 886-0807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6231101
—
NJ
01
—
DC2089
RAILROAD MEDICARE
NJ
Enumeration date
05/19/2006
Last updated
08/26/2015
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