Organization
NJ GASTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICA MARIA BARRITTA MD (OWNER)
(973) 645-0000
Entity
Organization
Contact information
Practice address
24 MERCHANT ST, NEWARK, NJ 07105-2847
(972) 645-0000
(973) 645-0001
Mailing address
24 MERCHANT ST, NEWARK, NJ 07105-2847
(973) 645-0000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NJ
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
01/22/2020
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