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General NPI Number Information
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NPI Number | 1780794248
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Entity Type | Organization
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Legal Business Name | GARDEN STATE GASTROENTEROLOGY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1000 WHITE HORSE RD SUITE # 802
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City | VOORHEES
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State | NJ
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Zip | 08043-4406
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Country | US
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Telephone | 856-784-7011
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Fax | 856-784-6626
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Provider Business Mailing Address
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Address Line | 1000 WHITE HORSE RD SUITE # 802
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City | VOORHEES
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State | NJ
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Zip | 08043-4406
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Country | US
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Telephone | 856-784-7011
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Fax | 856-784-6626
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANDREW M. ALLOY
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Credential | MD
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Telephone | 856-784-7011
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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 |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NJ
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