Provider Demographics
NPI:1609387109
Name:MEDIGEST HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MEDIGEST HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-596-9055
Mailing Address - Street 1:1030 SAINT GEORGES AVE STE 103A
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1330
Mailing Address - Country:US
Mailing Address - Phone:732-596-0155
Mailing Address - Fax:732-596-0158
Practice Address - Street 1:1030 SAINT GEORGES AVE STE 103A
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1330
Practice Address - Country:US
Practice Address - Phone:732-596-0155
Practice Address - Fax:732-596-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty