Provider Demographics
NPI:1154490175
Name:NORTH JERSEY GASTROENTEROLOY AND ENDOSCOPY ASSOCIATES PA
Entity Type:Organization
Organization Name:NORTH JERSEY GASTROENTEROLOY AND ENDOSCOPY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BLEICHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-633-1484
Mailing Address - Street 1:1825 ROUTE 23 SOUTH
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-633-1484
Mailing Address - Fax:973-633-7980
Practice Address - Street 1:1825 ROUTE 23 SOUTH
Practice Address - Street 2:FLOOR 2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-633-1484
Practice Address - Fax:973-633-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty