Provider Demographics
NPI:1487632436
Name:GASTROENTEROLOGY GROUP OF NEW JERSEY PA
Entity Type:Organization
Organization Name:GASTROENTEROLOGY GROUP OF NEW JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-429-8800
Mailing Address - Street 1:123 HIGHLAND AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028
Mailing Address - Country:US
Mailing Address - Phone:973-429-8800
Mailing Address - Fax:973-748-7076
Practice Address - Street 1:123 HIGHLAND AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028
Practice Address - Country:US
Practice Address - Phone:973-429-8800
Practice Address - Fax:973-748-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJGA474103Medicare ID - Type UnspecifiedGROUP NUMBER