| Northeast Gastroenterology Associates | |
|
2000 Grant Ave Ste 103 Philadelphia PA 19115-4378 | |
| (215) 992-6002 | |
| (215) 992-6001 |
| Full Name | Northeast Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2000 Grant Ave Ste 103, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ronald Kumor (PRESIDENT) |
| Authorized Official Contact | 2156124858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Gastroenterology Associates Po Box 825395 Philadelphia PA 19182-5395 Ph: (215) 612-4846 | Northeast Gastroenterology Associates 2000 Grant Ave Ste 103 Philadelphia PA 19115-4378 Ph: (215) 992-6002 |
| NPI Number | 1144823840 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144823840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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