Provider Demographics
NPI:1265831259
Name:ALLIED DIGESTIVE HEALTH, LLC
Entity Type:Organization
Organization Name:ALLIED DIGESTIVE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-222-3815
Mailing Address - Street 1:187 ROUTE 36
Mailing Address - Street 2:MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
Mailing Address - City:WEST LONG BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764
Mailing Address - Country:US
Mailing Address - Phone:732-222-3805
Mailing Address - Fax:732-759-2799
Practice Address - Street 1:187 ROUTE 36
Practice Address - Street 2:MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
Practice Address - City:WEST LONG BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07764
Practice Address - Country:US
Practice Address - Phone:732-222-3805
Practice Address - Fax:732-759-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty