| Bergen Gastroenterology Pc | |
|
466 Old Hook Rd Suite 1 Emerson NJ 07630-1396 | |
| (201) 967-8221 | |
| (201) 634-9647 |
| Full Name | Bergen Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 466 Old Hook Rd, Emerson, New Jersey |
| Authorized Official Name and Position | Eric S Avezzano (PRESIDENT/MD) |
| Authorized Official Contact | 2019678221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Gastroenterology Pc 466 Old Hook Rd Suite 1 Emerson NJ 07630-1396 Ph: (201) 967-8221 | Bergen Gastroenterology Pc 466 Old Hook Rd Suite 1 Emerson NJ 07630-1396 Ph: (201) 967-8221 |
| NPI Number | 1972531523 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972531523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 465837 (New Jersey) | Primary |
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