| Rowansom Dept Of Gastroenterology | |
| 
					42 E Laurel Rd Suite 3500 Stratford NJ 08084-1354  | |
| (856) 566-6853 | |
| (856) 566-7002 | 
| Full Name | Rowansom Dept Of Gastroenterology | 
|---|---|
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 42 E Laurel Rd, Stratford, New Jersey | 
| Authorized Official Name and Position | Michael Rieker (INTERIM CHIEF FINANCIAL OFFICER) | 
| Authorized Official Contact | 8567705729 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rowansom Dept Of Gastroenterology 42 E Laurel Rd Suite 3500 Stratford NJ 08084-1354 Ph: (856) 566-6853  | Rowansom Dept Of Gastroenterology 42 E Laurel Rd Suite 3500 Stratford NJ 08084-1354 Ph: (856) 566-6853  | 
| NPI Number | 1669446621 | 
|---|---|
| Provider Enumeration Date | 02/15/2006 | 
| Last Update Date | 05/03/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669446621 | NPI | - | NPPES | 
| CA1490 | Other | NJ | RR MEDICARE | 
| 3152600 | Medicaid | NJ | |
| 33183 | Other | NJ | AETNA | 
| 0072924000 | Other | NJ | AMERIHEALTH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary | 
Destyoncall Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Yale Ave, Suite D, Stratford, NJ 08084 Phone: 856-627-6101 Fax: 856-627-6103  | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E Laurel Rd, Stratford, NJ 08084 Phone: 856-783-2244 Fax: 856-783-8537  | |
Rowansom Nmi Headache Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd, Udp #1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956  | |
Goldis Geriatrics P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-3469 Fax: 856-346-9456  | |
Kennedy Medical Group Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 1st Floor, Stratford, NJ 08084 Phone: 856-783-0870 Fax: 856-783-0649  | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 2nd Floor, Stratford, NJ 08084 Phone: 856-783-1987  | |
Rowansom Dept Of Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 3100, Stratford, NJ 08084 Phone: 856-566-7002  |