Organization
ADVANCED DIGESTIVE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS S VASIREDDI M.D. (OWNER)
(732) 205-9886
Entity
Organization
Contact information
Practice address
205 BRIDGE ST, METUCHEN, NJ 08840-2290
(732) 205-9886
(732) 205-9887
Mailing address
PO BOX 359, EDISON, NJ 08818-0359
(732) 205-9886
(732) 205-9887
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06689300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7482507
—
NJ
Enumeration date
07/22/2006
Last updated
08/22/2020
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