Provider Demographics
NPI:1326190984
Name:CENTRAL JERSEY COLON AND RECTAL SURGEONS PA
Entity Type:Organization
Organization Name:CENTRAL JERSEY COLON AND RECTAL SURGEONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-5600
Mailing Address - Street 1:704 ROUTE 202 SOUTH
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2552
Mailing Address - Country:US
Mailing Address - Phone:908-526-5600
Mailing Address - Fax:908-526-5569
Practice Address - Street 1:704 ROUTE 202 SOUTH
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2552
Practice Address - Country:US
Practice Address - Phone:908-526-5600
Practice Address - Fax:908-526-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA59163208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
099807Medicare ID - Type Unspecified