| NPI | 1801233176 |
|---|---|
| Doing Business As | BERGEN GASTROENTEROLOGY P.C. - EMERSON |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA05477400) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |