| Delaware Valley Gastroenterology Associates Md Pa | |
|
406 Lippincott Dr Suite E Marlton NJ 08053-4168 | |
| (856) 983-1900 | |
| (856) 983-5110 |
| Full Name | Delaware Valley Gastroenterology Associates Md Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 406 Lippincott Dr, Marlton, New Jersey |
| Authorized Official Name and Position | Jane S Friehling (MANAGING PARTNER) |
| Authorized Official Contact | 8569831900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Valley Gastroenterology Associates Md Pa 406 Lippincott Dr Suite E Marlton NJ 08053-4168 Ph: (856) 983-1900 | Delaware Valley Gastroenterology Associates Md Pa 406 Lippincott Dr Suite E Marlton NJ 08053-4168 Ph: (856) 983-1900 |
| NPI Number | 1114988250 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114988250 | NPI | - | NPPES |
| 3071308 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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