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SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC NPI 1811977705


NPI Information

NPI: 1811977705
Provider Name: SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC

Doing Business As: SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2005 KINGS HWY
SWEDESBORO, NJ
ZIP 08085
Phone: (856) 467-0390
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SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC is a gastroenterology internal medicine in Swedesboro, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC NPI is 1811977705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Gastroenterology Associates Of Nj Llc.

The provider's business location address is:

2005 KINGS HWY
SWEDESBORO, NJ
ZIP 08085-217
Phone: (856) 467-0390
Fax: (856) 467-9747

The provider's authorized official is Kirit I Chhaya .
The authorized official title is Partner and has the following contact phone number (856) 467-0390.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 2/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology25MA06255100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17281803MEDICAIDNEW JERSEY
2CK2336OTHERNEW JERSEYRAILROAD MEDICARE
3895237MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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