| Gastoenterology Of North Essex Pc | |
|
199 Broad St Ste 1a Bloomfield NJ 07003-2635 | |
| (973) 680-5500 | |
| Not Available |
| Full Name | Gastoenterology Of North Essex Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 199 Broad St, Bloomfield, New Jersey |
| Authorized Official Name and Position | Louis John Celebre (PRESIDENT) |
| Authorized Official Contact | 9736805500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastoenterology Of North Essex Pc 199 Broad St Suite 1a Bloomfield NJ 07003-2635 Ph: (973) 680-5500 | Gastoenterology Of North Essex Pc 199 Broad St Ste 1a Bloomfield NJ 07003-2635 Ph: (973) 680-5500 |
| NPI Number | 1447497656 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447497656 | NPI | - | NPPES |
| 1835301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA48682 (New Jersey) | Primary |
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