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General NPI Number Information
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NPI Number | 1184140428
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Entity Type | Organization
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Legal Business Name | HUDSON CENTER FOR DIGESTIVE HEALTH LLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 534 AVENUE E STE 1-A
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City | BAYONNE
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State | NJ
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Zip | 07002-3987
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Country | US
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Telephone | 201-858-8444
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Fax | 201-858-4260
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Provider Business Mailing Address
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Address Line | 32 RICHARD RD
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City | EDISON
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State | NJ
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Zip | 08820-2515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KOVIL RAMASAMY
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Credential | MD
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Telephone | 201-858-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA06946500
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License Number State | NJ
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