MID STATE GASTROENTEROLOGY LLC is a specialist in Freehold, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID STATE GASTROENTEROLOGY LLC NPI is 1235472424. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
800 W MAIN ST STE 111
FREEHOLD, NJ
ZIP 07728-555
Phone: (732) 800-8950
Fax: (732) 800-8951
The provider's authorized official is Shelly Lowell Ludwig .
The authorized official title is President/owner and has the following contact phone number (732) 800-8950.
The CLIA number assigned to this NPI record is 31D2057559 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2013 and was last updated on 10/25/2021.