Organization
SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC
Active
Other names
Southern Gastroenterology Associates of NJ LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRIT I CHHAYA MD (PARTNER)
(856) 467-0390
Entity
Organization
Contact information
Practice address
2005 KINGS HWY, SWEDESBORO, NJ 08085-3217
(856) 467-0390
(856) 467-9747
Mailing address
PO BOX 62, SWEDESBORO, NJ 08085-0062
(856) 467-0390
(856) 467-9747
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06255100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7281803
—
NJ
01
—
CK2336
RAILROAD MEDICARE
NJ
Enumeration date
01/18/2006
Last updated
02/24/2009
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