Gastroenterolgy Center, Pa | |
21 Plymouth St Montclair NJ 07042-2607 | |
(973) 746-5166 | |
(973) 746-7922 |
Full Name | Gastroenterolgy Center, Pa |
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Speciality | Internal Medicine - Gastroenterology |
Location | 21 Plymouth St, Montclair, New Jersey |
Authorized Official Name and Position | Victor Groisser (OWNER) |
Authorized Official Contact | 9737465166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gastroenterolgy Center, Pa 21 Plymouth St Montclair NJ 07042-2607 Ph: (973) 746-5166 | Gastroenterolgy Center, Pa 21 Plymouth St Montclair NJ 07042-2607 Ph: (973) 746-5166 |
NPI Number | 1538147582 |
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Provider Enumeration Date | 01/09/2006 |
Last Update Date | 06/08/2010 |
Identifier | Type | State | Issuer |
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1538147582 | NPI | - | NPPES |
8029903 | Medicaid | NY |
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