Provider Demographics
NPI:1710109913
Name:HOLMDEL GASTROENTEROLOGY ASSOCIATES
Entity Type:Organization
Organization Name:HOLMDEL GASTROENTEROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:NURI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALKAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-264-8370
Mailing Address - Street 1:668 N BEERS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1526
Mailing Address - Country:US
Mailing Address - Phone:732-264-8370
Mailing Address - Fax:
Practice Address - Street 1:668 N BEERS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1526
Practice Address - Country:US
Practice Address - Phone:732-264-8370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty