Provider Demographics
NPI:1386615821
Name:GASTROENTEROLOGY ASSOCIATES OF CENTRAL JERSEY
Entity type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES OF CENTRAL JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SEOUNG
Authorized Official - Middle Name:WON
Authorized Official - Last Name:BAIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-744-9090
Mailing Address - Street 1:1931 OAK TREE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2072
Mailing Address - Country:US
Mailing Address - Phone:732-744-9090
Mailing Address - Fax:732-744-1592
Practice Address - Street 1:1931 OAK TREE RD STE 202
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2072
Practice Address - Country:US
Practice Address - Phone:732-744-9090
Practice Address - Fax:732-744-1592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty