| Digestive Health And Nutrition Center, Llc | |
|
465 Cranbury Rd East Brunswick NJ 08816-7600 | |
| (732) 390-1995 | |
| (732) 254-4610 |
| Full Name | Digestive Health And Nutrition Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 465 Cranbury Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Traci Arline (BUSINESS MANAGER) |
| Authorized Official Contact | 7323901995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health And Nutrition Center, Llc 465 Cranbury Rd East Brunswick NJ 08816-7600 Ph: (732) 390-1995 | Digestive Health And Nutrition Center, Llc 465 Cranbury Rd East Brunswick NJ 08816-7600 Ph: (732) 390-1995 |
| NPI Number | 1669521126 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/05/2009 |
| Medicare PECOS PAC ID | 0648267963 |
|---|---|
| Medicare Enrollment ID | O20040428001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669521126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David A Obando |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932109063 PECOS PAC ID: 0840286373 Enrollment ID: I20040421001114 |
| Provider Name | Marcia Copeland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912926825 PECOS PAC ID: 1254328032 Enrollment ID: I20040426001452 |
| Provider Name | Amjad A Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649272022 PECOS PAC ID: 1456413244 Enrollment ID: I20090105000377 |
| Provider Name | Jose C Costa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043491830 PECOS PAC ID: 2961551486 Enrollment ID: I20090512000547 |
| Provider Name | Bo Feng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669672994 PECOS PAC ID: 1153472303 Enrollment ID: I20090629000171 |
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