| Digestive Care Of New Jersey, Pa | |
|
71 Union Ave Rutherford NJ 07070-1274 | |
| (201) 842-0020 | |
| (201) 842-0010 |
| Full Name | Digestive Care Of New Jersey, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 71 Union Ave, Rutherford, New Jersey |
| Authorized Official Name and Position | Joseph Roth (PRESIDENT) |
| Authorized Official Contact | 2018420020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Care Of New Jersey, Pa 71 Union Ave Rutherford NJ 07070-1274 Ph: (201) 842-0020 | Digestive Care Of New Jersey, Pa 71 Union Ave Rutherford NJ 07070-1274 Ph: (201) 842-0020 |
| NPI Number | 1679591028 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679591028 | NPI | - | NPPES |
| 6463801 | Medicaid | NJ | |
| CA4412 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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