Gastroenterolgy Center, Pa

LBN: Gastroenterolgy Center, Pa
Gastroenterolgy Center, Pa is an health care organization with primary practice located at 21 Plymouth St , Montclair NJ 07042-2607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Gastroenterolgy Center, Pa can be contacted via phone (973) 746-5166, or through Groisser, Victor via phone (973) 746-5166.

Contact Information

Primary practice address
21 Plymouth St Montclair NJ 07042-2607
Fax: (973) 746-7922
Website:
Authorized official contact:
Name: Groisser, Victor Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA-16509 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA08496100 New Jersey

Profile Details

NPI number 1538147582
LBN Legal business name Gastroenterolgy Center, Pa
DBA Doing business as
Authorized official Groisser, Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Jun 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538147582 NPPES
New York MEDICAID 8029903

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