| Northeast Gastroenterology Associates Inc | |
|
2000 Grant Ave Suite 103 Phila PA 19115-4378 | |
| (215) 333-1776 | |
| (215) 333-0653 |
| Full Name | Northeast Gastroenterology Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Grant Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Eugene M Mayer (PRESIDENT) |
| Authorized Official Contact | 2153331776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Gastroenterology Associates Inc 2000 Grant Ave Suite 103 Phila PA 19115-4378 Ph: (215) 333-1776 | Northeast Gastroenterology Associates Inc 2000 Grant Ave Suite 103 Phila PA 19115-4378 Ph: (215) 333-1776 |
| NPI Number | 1801926209 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 7416931209 |
|---|---|
| Medicare Enrollment ID | O20040617001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801926209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mark L Bierhoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568527372 PECOS PAC ID: 8224226923 Enrollment ID: I20120215000238 |
| Provider Name | Lawrence B Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477618270 PECOS PAC ID: 0042408742 Enrollment ID: I20120228000453 |
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