1356514335 NPI number — SOUTH JERSEY GASTROENTEROLOGY PA

Table of content: (NPI 1356514335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356514335 NPI number — SOUTH JERSEY GASTROENTEROLOGY PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH JERSEY GASTROENTEROLOGY PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356514335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
406 LIPPINCOTT DR
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
MARLTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08053-4168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-983-1900
Provider Business Mailing Address Fax Number:
856-983-1914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
93 COOPER RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
VOORHEES
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08043-4910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-770-1920
Provider Business Practice Location Address Fax Number:
856-770-1925
Provider Enumeration Date:
04/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LIAKOS
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
856-983-1900

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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