| Advanced Gastroenterology Center, Pc | |
|
695 Chestnut St Upper Level - Suite B Union NJ 07083-9302 | |
| (908) 688-8080 | |
| (908) 688-8095 |
| Full Name | Advanced Gastroenterology Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 695 Chestnut St, Union, New Jersey |
| Authorized Official Name and Position | Eyad Y Baghal (PRESIDENT) |
| Authorized Official Contact | 9086888080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Center, Pc 695 Chestnut St Upper Level - Suite B Union NJ 07083-9302 Ph: (908) 688-8080 | Advanced Gastroenterology Center, Pc 695 Chestnut St Upper Level - Suite B Union NJ 07083-9302 Ph: (908) 688-8080 |
| NPI Number | 1003052549 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 01/07/2009 |
| Medicare PECOS PAC ID | 8123185873 |
|---|---|
| Medicare Enrollment ID | O20090324000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003052549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Raul Rudelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124049671 PECOS PAC ID: 5698761070 Enrollment ID: I20070725000093 |
| Provider Name | Pavan Sachan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417906678 PECOS PAC ID: 0749347490 Enrollment ID: I20090324000504 |
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