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NPI Code Detail

MEDICARE: ASSOCIATED COLON AND RECTAL SPECIALISTS, INC.

MEDICARE: ASSOCIATED COLON AND RECTAL SPECIALISTS, INC.
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
1208C00000XColon & Rectal Surgery Physician

General Provider Information

NPI Number : 1346294451
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED COLON AND RECTAL SPECIALISTS, INC.
Provider Business Mailing Address
First Line : 3131 PRINCETON PIKE
Second Line : BLDG. 3C-201
City : LAWRENCEVILLE
State : NJ
Zip : 08648-2201
Country : US
Telephone Number : 609-896-1700
Fax Number : 609-896-1087
Provider Business Practice Location Address
First Line : 3131 PRINCETON PIKE
Second Line : BLDG. 3C-201
City : LAWRENCEVILLE
State : NJ
Zip : 08648-2201
Country : US
Telephone Number : 609-896-1700
Fax Number : 609-896-1087
Authorized Official
Title or Position : PRESIDENT
Name : DR. HOWARD W. HARDY III
Credential : M.D.
Telephone Number : 609-896-1700
Provider Enumeration Date : 05/22/2006
Last Update Date : 02/26/2015

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