| Sparta Gastroenterology Llc | |
|
376 Lafayette Rd Suite 101 Sparta NJ 07871 | |
| (973) 579-3174 | |
| (973) 579-2961 |
| Full Name | Sparta Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 376 Lafayette Rd, Sparta, New Jersey |
| Authorized Official Name and Position | Dmitry Mysh (MD OWNER) |
| Authorized Official Contact | 9735793174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Gastroenterology Llc 376 Lafayette Rd Suite 101 Sparta NJ 07871-3560 Ph: (973) 579-3174 | Sparta Gastroenterology Llc 376 Lafayette Rd Suite 101 Sparta NJ 07871 Ph: (973) 579-3174 |
| NPI Number | 1245424696 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245424696 | NPI | - | NPPES |
| 8503206 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA065097 (New Jersey) | Primary |
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Omneity Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Main St, Sparta, NJ 07871 Phone: 973-729-9700 | |
Bridge Medical Center Professional Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 Sparta Ave, Suite 201, Sparta, NJ 07871 Phone: 973-729-0016 Fax: 973-729-0058 | |
Sparta Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Main St, Sparta, NJ 07871 Phone: 973-729-7400 Fax: 973-729-2201 | |
Greenheart Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Sparta Ave, Ste B6, Sparta, NJ 07871 Phone: 862-251-7265 Fax: 862-251-7267 | |
Premier Health Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 532 Lafayette Rd, Suite 200, Sparta, NJ 07871 Phone: 973-300-1248 Fax: 973-579-5267 |