Gastroenterology Group Of South Jersey P C
LBN: Gastroenterology Group Of South Jersey P C
Gastroenterology Group Of South Jersey P C is an health care organization with primary practice located at 602 W Sherman Ave , Vineland NJ 08360-7054. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Gastroenterology Group Of South Jersey P C can be contacted via phone (856) 691-1400, or through Matusow, Gary via phone (856) 691-1400.
Contact Information
Primary practice address
602 W Sherman Ave
Vineland NJ 08360-7054
Phone: (856) 691-1400
Fax: (856) 691-7117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1245391051 |
|---|---|
| LBN Legal business name | Gastroenterology Group Of South Jersey P C |
| DBA Doing business as | |
| Authorized official | Matusow, Gary Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jun 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245391051 | NPPES |
| New Jersey | Other | 0458453 | AETNA |
| New Jersey | Other | 0185588000 | AETNA |
| New Jersey | Other | 1055942 | AETNA |
| New Jersey | MEDICAID | 5430208 | AETNA |
| New Jersey | Other | CU000003403 | AETNA |
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