Organization · Type 2 NPI

Mid State Gastroenterology LLC

Specialist · Freehold, NJ

NPI number 1235472424 Active

Practice location

800 W Main St Ste 111
Freehold, NJ 07728-2555

Call (732) 800-8950 Map

Fax (732) 800-8951

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1235472424

Mid State Gastroenterology LLC's National Provider Identifier is 1235472424, issued on Apr 5, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freehold, NJ. The record was last updated on Oct 25, 2021.