Provider Demographics
NPI:1558432419
Name:RASO - COHEN GASTROENTEROLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:RASO - COHEN GASTROENTEROLOGY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:RASO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-797-3990
Mailing Address - Street 1:129 ROUTE 37 WEST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:732-797-3990
Mailing Address - Fax:732-797-3995
Practice Address - Street 1:129 ROUTE 37 WEST
Practice Address - Street 2:SUITE 3
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-797-3990
Practice Address - Fax:732-797-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty