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Organization

DB PATHOLOGY

Active
Parent organization
NJ GASTRO, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NJ GASTRO, LLC
Authorized official
OSCAR MOLINA (MANAGER)
(973) 645-0000
Entity
Organization

Contact information

Practice address
24 MERCHANT ST, NEWARK, NJ 07105-2847
(973) 645-0000
(973) 645-0001
Mailing address
24 MERCHANT ST, NEWARK, NJ 07105-2847
(973) 645-0000
(973) 645-0001

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary

Other

Enumeration date
04/12/2019
Last updated
04/12/2019
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