| |
125 Paterson St Suite 5100b New Brunswick NJ 08901-1962 | |
(732) 235-6513 | |
(732) 235-6524 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 125 Paterson St, New Brunswick, New Jersey |
Authorized Official Name and Position | Brenda Lawrence (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 7322356070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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66 W Gilbert St Red Bank NJ 07701 Ph: (732) 212-0051 | 125 Paterson St Suite 5100b New Brunswick NJ 08901-1962 Ph: (732) 235-6513 |
NPI Number | 1265504849 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 01/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265504849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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