Gastroenterology Group Of South Jersey P C in Vineland - Specialist

Gastroenterology Group Of South Jersey P C - NPI 1245391051

Gastroenterology Group Of South Jersey P C is a Specialist in Vineland, New Jersey. Gastroenterology Group Of South Jersey P C practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gastroenterology Group Of South Jersey P C is 1245391051. The last update date is 2008-06-11.

Gastroenterology Group Of South Jersey P C's current location address is 602 W Sherman Ave, Vineland, New Jersey. You can contact this provider via phone number 8566911400 and fax number 8566917117. The mailing address for Gastroenterology Group Of South Jersey P C is 602 W Sherman Ave, Vineland, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gastroenterology Group Of South Jersey P C
Address 602 W Sherman Ave, Vineland, New Jersey
Phone Number 8566911400
Fax Number 8566917117
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Matusow Gary
Credentials DO
Telephone Number 8566911400

NPI Number Detail

NPI Number 1245391051
Provider Enumeration Date 2006-12-13
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address 602 W Sherman Ave
City Vineland
State New Jersey (NJ)
Post Code 83607054
Phone Number 8566911400
Fax Number 8566917117

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
458453 NJ AETNA
185588000 NJ AMERIHEALTH
1055942 NJ HORIZON NJ HEALTH
5430208 NJ --
CU000003403 NJ AMERICHOICE

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FAQs about Gastroenterology Group Of South Jersey P C

What is the unique 10-digit identification code issued to Gastroenterology Group Of South Jersey P C by the Centers for Medicare & Medicaid Services?

The Gastroenterology Group Of South Jersey P C has been assigned the NPI (National Provider Identifier) 1245391051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Gastroenterology Group Of South Jersey P C's facilities are geographically located?

The facilities of Gastroenterology Group Of South Jersey P C are physically situated at the following location: 602 W Sherman Ave, Vineland, NJ, 83607054.

What is the Gastroenterology Group Of South Jersey P C's area of specialization and corresponding taxonomy classification?

The Gastroenterology Group Of South Jersey P C's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When was the Gastroenterology Group Of South Jersey P C's 1245391051 issued?

The Gastroenterology Group Of South Jersey P C's 1245391051 was issued on 2006-12-13.

As of what date was the information pertaining to Gastroenterology Group Of South Jersey P C, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gastroenterology Group Of South Jersey P C, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-11.

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