Provider Demographics
NPI:1194563650
Name:PEDIATRIC GASTROENTEROLOGY CONSULTANTS PC
Entity type:Organization
Organization Name:PEDIATRIC GASTROENTEROLOGY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENSWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-830-9190
Mailing Address - Street 1:1601 E 19TH AVE STE 3500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1252
Mailing Address - Country:US
Mailing Address - Phone:303-830-9190
Mailing Address - Fax:303-226-7424
Practice Address - Street 1:9397 CROWN CREST BLVD STE 330
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8788
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:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty