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General NPI Number Information
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NPI Number | 1932014669
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Entity Type | Organization
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Legal Business Name | AMER INSTITUTE OF GASTROENTEROLOGY
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 205 BROWERTOWN RD STE 201
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2610
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Country | US
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Telephone | 973-563-9462
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Fax |
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Provider Business Mailing Address
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Address Line | 205 BROWERTOWN RD STE 201
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2610
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Country | US
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Telephone | 973-563-9462
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DIANE ISSA
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Credential |
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Telephone | 973-563-9462
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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 |
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