| Hudson Center For Digestive Health Llc | |
|
534 Avenue E Ste 1-a Bayonne NJ 07002-3987 | |
| (201) 858-8444 | |
| (201) 858-4260 |
| Full Name | Hudson Center For Digestive Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 534 Avenue E Ste 1-a, Bayonne, New Jersey |
| Authorized Official Name and Position | Kovil Ramasamy (OWNER) |
| Authorized Official Contact | 2018588444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Center For Digestive Health Llc 32 Richard Rd Edison NJ 08820-2515 Ph: () - | Hudson Center For Digestive Health Llc 534 Avenue E Ste 1-a Bayonne NJ 07002-3987 Ph: (201) 858-8444 |
| NPI Number | 1184140428 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 08/18/2017 |
| Medicare PECOS PAC ID | 7012275530 |
|---|---|
| Medicare Enrollment ID | O20171211000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184140428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA06946500 (New Jersey) | Primary |
| Provider Name | Kovil Ramasamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790765576 PECOS PAC ID: 1456439512 Enrollment ID: I20120201000563 |
| Provider Name | Mary J Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174811095 PECOS PAC ID: 5890921555 Enrollment ID: I20140730001426 |
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