Organization
SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC
Active
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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