| Digestive Disease Specialists Of Central Jersey P.c. | |
|
233 Middle Rd Suite 1 Hazlet NJ 07730-1957 | |
| (732) 888-0411 | |
| (732) 888-3909 |
| Full Name | Digestive Disease Specialists Of Central Jersey P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 233 Middle Rd, Hazlet, New Jersey |
| Authorized Official Name and Position | Beverly C Avendano (OWNER) |
| Authorized Official Contact | 7328880411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Specialists Of Central Jersey P.c. 233 Middle Rd Suite 1 Hazlet NJ 07730-1957 Ph: (732) 888-0411 | Digestive Disease Specialists Of Central Jersey P.c. 233 Middle Rd Suite 1 Hazlet NJ 07730-1957 Ph: (732) 888-0411 |
| NPI Number | 1023039112 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143393934 |
|---|---|
| Medicare Enrollment ID | O20080728000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023039112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA64381 (New Jersey) | Primary |
| Provider Name | Stacey L Longo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184799223 PECOS PAC ID: 4688661002 Enrollment ID: I20040428000464 |
| Provider Name | Beverly Cornel-avendano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255357349 PECOS PAC ID: 4688699184 Enrollment ID: I20051013000646 |
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