NPI 1043741663

Jersey Shore Gastoenterology

Organisation Non-Pharmacy Dispensing Site Egg Harbor Township, NJ

Practice location

Address: 2500 English Creek Ave Suite 903, Egg Harbor Township, NJ 08234-5549
Phone: (609) 645-1880

Authorised official

Name: Joel Krachman
Title: Member
Phone: (609) 645-1880

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 25MB05159800 (NJ)

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Registry record

NPI: 1043741663
Entity type: Organization
NPI issued: 24 Mar 2017
Record last updated: 24 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.