| Coral Ridge Gastroenterology Associates Llc | |
|
2021 E Commercial Blvd Suite 202 Ft Lauderdale FL 33308-3763 | |
| (954) 202-7850 | |
| (954) 202-7781 |
| Full Name | Coral Ridge Gastroenterology Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2021 E Commercial Blvd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | V. Alin Botoman (FACG/FACP) |
| Authorized Official Contact | 9542027850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Ridge Gastroenterology Associates Llc 2021 E Commercial Blvd Suite 202 Ft Lauderdale FL 33308-3763 Ph: (954) 202-7850 | Coral Ridge Gastroenterology Associates Llc 2021 E Commercial Blvd Suite 202 Ft Lauderdale FL 33308-3763 Ph: (954) 202-7850 |
| NPI Number | 1265628424 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 1658443650 |
|---|---|
| Medicare Enrollment ID | O20080709000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265628424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Gregory F Bonner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932211224 PECOS PAC ID: 2769381862 Enrollment ID: I20040107000913 |
| Provider Name | Leib H Singer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003906322 PECOS PAC ID: 9537231535 Enrollment ID: I20080709000269 |
| Provider Name | John Bloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780656371 PECOS PAC ID: 5991877995 Enrollment ID: I20080709000326 |
| Provider Name | Daniel S Kosches |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316932296 PECOS PAC ID: 0547332546 Enrollment ID: I20080709000462 |
| Provider Name | John R Watson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043309776 PECOS PAC ID: 7719059716 Enrollment ID: I20080709000486 |
| Provider Name | Wisam F Zakko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730291006 PECOS PAC ID: 8628976149 Enrollment ID: I20080709000549 |
| Provider Name | Arturo L Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437113834 PECOS PAC ID: 0648249110 Enrollment ID: I20080709000659 |
| Provider Name | Manuel E Babaian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649374950 PECOS PAC ID: 2466524467 Enrollment ID: I20080709000693 |
| Provider Name | Mark R Dosch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144255530 PECOS PAC ID: 3870589401 Enrollment ID: I20100909000280 |
| Provider Name | Barry Gach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699700070 PECOS PAC ID: 6406980028 Enrollment ID: I20100909000350 |
| Provider Name | Hari P Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396709267 PECOS PAC ID: 0840315909 Enrollment ID: I20100913000587 |
| Provider Name | Charles-eric T Hotte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063615151 PECOS PAC ID: 3678715042 Enrollment ID: I20130814000619 |
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