Provider Demographics
NPI:1831721232
Name:MONMOUTH DIGESTIVE HEALTH LLC
Entity type:Organization
Organization Name:MONMOUTH DIGESTIVE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GORCEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-718-6768
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-0937
Mailing Address - Country:US
Mailing Address - Phone:732-718-6768
Mailing Address - Fax:
Practice Address - Street 1:145 WYCKOFF RD
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1878
Practice Address - Country:US
Practice Address - Phone:732-229-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty