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NPI 1801233176

OrganizationActive

Bergen Gastroenterology P C

NPI 1801233176 · Non-Pharmacy Dispensing Site · Emerson, NJ

Provider details

NPI number: 1801233176
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Vp of Operations
License: 25MA05477400 (NJ)

Practice location

466 Old Hook Rd

Suite 1

Emerson, NJ 07630-1396

Phone: (201) 967-8221

More NJ providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2013-05-28
Last updated: 2013-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bergen Gastroenterology P C — NPI 1801233176, Emerson, NJ | NPI Central