Organization Name: | NJ-NY GASTROENTEROLOGY ASSOCIATE |
NPI Number: | 1548655160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WINNIE CHAN (OFFICE MANAGER) |
Mailing Address: | 1 Bridge St 211 Building D Metuchen |
State: | NJ US |
Postal Code: | 088402273 |
Phone Number: | 7329022821 |
Fax Number: | 7329022822 |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA09610400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |