New Jersey Digestive Disease Associates | |
211 Bridge St Bldg D Metuchen NJ 08840-2254 | |
(518) 461-7553 | |
Not Available |
Full Name | New Jersey Digestive Disease Associates |
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Speciality | Internal Medicine |
Location | 211 Bridge St Bldg D, Metuchen, New Jersey |
Authorized Official Name and Position | Bingru Xie (PHYSICIAN) |
Authorized Official Contact | 5184617553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Jersey Digestive Disease Associates 211 Bridge St Bldg D Metuchen NJ 08840-2254 Ph: (732) 662-5115 | New Jersey Digestive Disease Associates 211 Bridge St Bldg D Metuchen NJ 08840-2254 Ph: (518) 461-7553 |
NPI Number | 1437638558 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 12/24/2018 |
Medicare PECOS PAC ID | 1658625538 |
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Medicare Enrollment ID | O20181112002507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437638558 | NPI | - | NPPES |
327361 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Bingru Xie |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487802690 PECOS PAC ID: 5294988200 Enrollment ID: I20121226000181 |
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