| Gastroenterology Healthcare P.a. | |
|
799 Bloomfield Ave Ste 102 Verona NJ 07044-1301 | |
| (973) 433-7600 | |
| (973) 433-7462 |
| Full Name | Gastroenterology Healthcare P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 799 Bloomfield Ave Ste 102, Verona, New Jersey |
| Authorized Official Name and Position | Daniel D Manzi (PRESIDENT) |
| Authorized Official Contact | 9734337600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Healthcare P.a. 799 Bloomfield Ave Ste 102 Verona NJ 07044-1301 Ph: (973) 433-7600 | Gastroenterology Healthcare P.a. 799 Bloomfield Ave Ste 102 Verona NJ 07044-1301 Ph: (973) 433-7600 |
| NPI Number | 1700112737 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700112737 | NPI | - | NPPES |
| 2095700 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA03690300 (New Jersey) | Primary |
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