| Gastrocare | |
|
1 Bellevue Ter Weehawken NJ 07086-6901 | |
| (201) 348-9200 | |
| Not Available |
| Full Name | Gastrocare |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Bellevue Ter, Weehawken, New Jersey |
| Authorized Official Name and Position | Harry Walter Snady (CEO) |
| Authorized Official Contact | 2013489200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrocare 22 E 88th St New York NY 10128-0509 Ph: (212) 831-0700 | Gastrocare 1 Bellevue Ter Weehawken NJ 07086-6901 Ph: (201) 348-9200 |
| NPI Number | 1922363472 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 6608029392 |
|---|---|
| Medicare Enrollment ID | O20130108000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922363472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA03842900 (New Jersey) | Primary |
| Provider Name | Miroslav R Radevic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275779894 PECOS PAC ID: 8628123759 Enrollment ID: I20090826000067 |
| Provider Name | Harry W Snady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144322801 PECOS PAC ID: 5496756769 Enrollment ID: I20130108000057 |
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