| Organization Name: | SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC |
| NPI Number: | 1497921845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN TUNG (OWNER) |
| Mailing Address: | 5429 Harding Hwy Suite 302 Mays Landing |
| State: | NJ US |
| Postal Code: | 083302263 |
| Phone Number: | 6096258688 |
| Fax Number: | 6096254162 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0206X |
| License Number: | 25MA0719400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Gastroenterology |
| Taxonomy Definition: | A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |