Provider Demographics
NPI:1669484820
Name:WESTFIELD ASSOCIATES IN INTERNAL MEDICINE & GASTROENTEROLOGY
Entity Type:Organization
Organization Name:WESTFIELD ASSOCIATES IN INTERNAL MEDICINE & GASTROENTEROLOGY
Other - Org Name:WESTFIELD ASSOCIATES IN GASTROENTEROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:AMRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-232-6151
Mailing Address - Street 1:512 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2116
Mailing Address - Country:US
Mailing Address - Phone:908-232-6151
Mailing Address - Fax:908-232-1920
Practice Address - Street 1:512 E BROAD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2116
Practice Address - Country:US
Practice Address - Phone:908-232-6151
Practice Address - Fax:908-232-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2622700Medicaid
NJ527236Medicare PIN