| Lawrence Gastroenterology, Pa | |
|
3100 Princeton Pike Bldg 4, Suite C Lawrenceville NJ 08648 | |
| (609) 882-2185 | |
| (609) 882-0347 |
| Full Name | Lawrence Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Princeton Pike, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Joseph Deantonio (OWNER) |
| Authorized Official Contact | 6098822185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Gastroenterology, Pa Po Box 914 Pennington NJ 08534-0914 Ph: (609) 882-2185 | Lawrence Gastroenterology, Pa 3100 Princeton Pike Bldg 4, Suite C Lawrenceville NJ 08648 Ph: (609) 882-2185 |
| NPI Number | 1235149782 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 09/05/2013 |
| Medicare PECOS PAC ID | 5294898474 |
|---|---|
| Medicare Enrollment ID | O20090114000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235149782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Joseph Deantonio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295745859 PECOS PAC ID: 0941363121 Enrollment ID: I20090114000379 |
Children First Medical Care, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1613 Princeton Ave, Lawrenceville, NJ 08648 Phone: 609-394-9599 Fax: 609-394-5511 | |
Princeton Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Federal City Rd, Building A, Lawrenceville, NJ 08648 Phone: 609-620-1380 Fax: 609-771-8991 | |
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Princeton Pike Internal Medicine - Princeton Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Princeton Pike, Bldg 3, 3rd Floor, Lawrenceville, NJ 08648 Phone: 609-896-1793 | |
Mosaic Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Franklin Corner Rd, Lawrenceville, NJ 08648 Phone: 609-235-1800 | |
Princeton Sports And Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3131 Princeton Pike, Bldg 4a, Suite 100, Lawrenceville, NJ 08648 Phone: 609-896-9190 Fax: 609-896-3555 | |
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