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NPI Code Detail

MEDICARE: RUTHERFORD GASTROENTEROLOGY ASSOCIATES, PA

MEDICARE: RUTHERFORD GASTROENTEROLOGY ASSOCIATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1487687042
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUTHERFORD GASTROENTEROLOGY ASSOCIATES, PA
Provider Business Mailing Address
First Line : 71 UNION AVE
Second Line :
City : RUTHERFORD
State : NJ
Zip : 07070-1274
Country : US
Telephone Number : 201-896-0400
Fax Number : 201-896-0863
Provider Business Practice Location Address
First Line : 71 UNION AVE
Second Line :
City : RUTHERFORD
State : NJ
Zip : 07070-1274
Country : US
Telephone Number : 201-896-0400
Fax Number : 201-896-0863
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM S ALBERT
Credential : M.D.
Telephone Number : 201-896-0400
Provider Enumeration Date : 07/08/2006
Last Update Date : 11/17/2009

Similar Medicare Providers

1326042276 — DR. WILLIAM S ALBERT M.D.
Practice Location Address:
71 UNION AVE
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07070-1274
Practice Phone: 201-896-0400
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1487665717 — JAROSLAW S PONDO MD
Practice Location Address:
71 UNION AVE , SUITE 107
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1679634414 — DR. MARIEANNE GIARDINA-BECKETT M.D.
Practice Location Address:
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1396953782 — STELLAR MEDICAL SYSTEMS INC
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Directions to “RUTHERFORD GASTROENTEROLOGY ASSOCIATES, PA ” Practice Location

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