Organization
BZ GASTROINTESTINAL PA
Active
Organization
BZ GASTROINTESTINAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO V MAGASIC MD (PRESIDENT)
(856) 983-1333
Entity
Organization
Contact information
Practice address
100 BRICK RD, SUITE 300, MARLTON, NJ 08053
(856) 983-1333
(856) 983-9292
Mailing address
100 BRICK RD, SUITE 300, MARLTON, NJ 08053
(856) 983-1333
(856) 983-9292
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA56820
NJ
207RG0100X
Gastroenterology Physician
MA58049
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30528000
—
NJ
01
—
D6195
RAILROAD MEDICARE
NJ
Enumeration date
10/19/2006
Last updated
10/22/2007
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