| Associates In Digestive Diseases, Pa | |
|
25 Morris Ave Springfield NJ 07081-1404 | |
| (973) 467-1313 | |
| (973) 467-3133 |
| Full Name | Associates In Digestive Diseases, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Morris Ave, Springfield, New Jersey |
| Authorized Official Name and Position | Michael B Kerner (OWNER) |
| Authorized Official Contact | 9734671313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Digestive Diseases, Pa 25 Morris Ave Springfield NJ 07081-1404 Ph: (973) 467-1313 | Associates In Digestive Diseases, Pa 25 Morris Ave Springfield NJ 07081-1404 Ph: (973) 467-1313 |
| NPI Number | 1427047448 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 2365343035 |
|---|---|
| Medicare Enrollment ID | O20040115000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427047448 | NPI | - | NPPES |
| 2793601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rongshan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750335667 PECOS PAC ID: 5799747739 Enrollment ID: I20100211000577 |
| Provider Name | Michael A Fuhrman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720077746 PECOS PAC ID: 0143361816 Enrollment ID: I20101124000007 |
| Provider Name | Michael B Kerner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982693990 PECOS PAC ID: 9436050119 Enrollment ID: I20101201001110 |
| Provider Name | Marvin A Lipsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932198942 PECOS PAC ID: 8426959107 Enrollment ID: I20101203000627 |
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