South Jersey Gastroenterology, Pa
LBN: South Jersey Gastroenterology, Pa
South Jersey Gastroenterology, Pa is an health care organization with primary practice located at 406 Lippincott Dr Suite E, Marlton NJ 08053-4168. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
South Jersey Gastroenterology, Pa can be contacted via phone (856) 983-1900, or through Liakos, Steven via phone (856) 983-1900.
Contact Information
Primary practice address
406 Lippincott Dr Suite E
Marlton NJ 08053-4168
Phone: (856) 983-1900
Fax: (856) 983-1914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X |
Profile Details
| NPI number | 1871537225 |
|---|---|
| LBN Legal business name | South Jersey Gastroenterology, Pa |
| DBA Doing business as | |
| Authorized official | Liakos, Steven Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 26th, 2013 - about 11 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 | 1871537225 | NPPES |
| New Jersey | MEDICAID | 3047407 |
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