Organization
BERGEN GASTROENTEROLOGY PC
Active
Organization
BERGEN GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC S AVEZZANO MD (PRESIDENT/MD)
(201) 967-8221
Entity
Organization
Contact information
Practice address
466 OLD HOOK RD, SUITE 1, EMERSON, NJ 07630-1396
(201) 967-8221
(201) 634-9647
Mailing address
466 OLD HOOK RD, SUITE 1, EMERSON, NJ 07630-1396
(201) 967-8221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
465837
NJ
Other
Enumeration date
06/30/2006
Last updated
08/20/2009
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