| Community Gastroeterology, Pa | |
|
9 Hospital Dr Ste 15a Toms River NJ 08755-6425 | |
| (732) 505-4420 | |
| Not Available |
| Full Name | Community Gastroeterology, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9 Hospital Dr Ste 15a, Toms River, New Jersey |
| Authorized Official Name and Position | Chakrapani Prakash (SOLE PROPRIETOR) |
| Authorized Official Contact | 7325054420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Gastroeterology, Pa 9 Hospital Dr Ste 15a Toms River NJ 08755-6425 Ph: (732) 505-4420 | Community Gastroeterology, Pa 9 Hospital Dr Ste 15a Toms River NJ 08755-6425 Ph: (732) 505-4420 |
| NPI Number | 1336280692 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336280692 | NPI | - | NPPES |
| 0349801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA052242 (New Jersey) | Primary |
Benjamin D Lessig Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Commons Way, Bldg B, Toms River, NJ 08755 Phone: 732-281-3590 Fax: 732-281-0054 | |
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