| Gi Endoscopy Practice Llc | |
|
44 State Rt 23 Ste 7 Riverdale NJ 07457-1603 | |
| (973) 248-1550 | |
| (973) 248-1560 |
| Full Name | Gi Endoscopy Practice Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44 State Rt 23 Ste 7, Riverdale, New Jersey |
| Authorized Official Name and Position | Bharat Dasani (DIRECTOR) |
| Authorized Official Contact | 9732481550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Endoscopy Practice Llc 44 State Rt 23 Ste 7 Riverdale NJ 07457-1603 Ph: (973) 248-1550 | Gi Endoscopy Practice Llc 44 State Rt 23 Ste 7 Riverdale NJ 07457-1603 Ph: (973) 248-1550 |
| NPI Number | 1043726821 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/15/2017 |
| Medicare PECOS PAC ID | 8729435870 |
|---|---|
| Medicare Enrollment ID | O20231110000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043726821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Bharat Dasani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073698049 PECOS PAC ID: 5799776514 Enrollment ID: I20040520001000 |
| Provider Name | Edwin Leschhorn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679553309 PECOS PAC ID: 4981686862 Enrollment ID: I20060222000482 |
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