Organization
ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN M BERBERIAN MD (OWNER)
(856) 745-2241
Entity
Organization
Contact information
Practice address
15 ARKANSAS AVE, OCEAN CITY, NJ 08226-2962
(609) 382-0111
(201) 255-0668
Mailing address
15 ARKANSAS AVE, OCEAN CITY, NJ 08226-2962
(609) 382-0111
(201) 255-0668
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07878000
MEDICAL DOCTOR
NJ
Enumeration date
10/18/2018
Last updated
08/09/2022
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