Provider Demographics
NPI:1811238157
Name:PEDIATRIC GI CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:PEDIATRIC GI CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:ROSENSWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-830-9190
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE #3500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-830-9190
Mailing Address - Fax:303-226-7424
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE #3500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-830-9190
Practice Address - Fax:303-226-7424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty