Organization
GASTRO-SURGI CENTER OF NEW JERSEY
Active
Organization
GASTRO-SURGI CENTER OF NEW JERSEY
Active
Other names
The Gastro-Surgi Center Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN LIPSBY MD (MEDICAL DIRECTOR)
(908) 317-9434
Entity
Organization
Contact information
Practice address
1132 SPRUCE DRIVE, MOUNTAINSIDE, NJ 07092
(908) 317-9434
(908) 317-0103
Mailing address
1132 SPRUCE DRIVE, MOUNTAINSIDE, NJ 07092
(908) 317-9434
(908) 317-0103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061590
—
NJ
01
—
22511
ASC
NJ
Enumeration date
06/08/2007
Last updated
06/23/2021
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