| Organization Name: | BERGEN GASTROENTEROLOGY PC |
| NPI Number: | 1447457403 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA ECKERT (BILLING MANAGER) |
| Mailing Address: | 466 Old Hook Rd Suite 1 Emerson |
| State: | NJ US |
| Postal Code: | 076301396 |
| Phone Number: | 2019678221 |
| Fax Number: | 2016349647 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 08/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 308228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |