Organization
RIVERVIEW GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L DITTAMO (MEDICAL BILLING SPECIALIST)
(201) 969-2111
Entity
Organization
Contact information
Practice address
935 RIVER RD, SUITE 201, EDGEWATER, NJ 07020-2234
(201) 969-2111
(201) 969-8015
Mailing address
935 RIVER RD, SUITE 201, EDGEWATER, NJ 07020-2234
(201) 969-2111
(201) 969-8015
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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