Provider Demographics
NPI:1538358361
Name:PILIPSHEN COLON AND RECTAL SURGICAL SERVICES
Entity type:Organization
Organization Name:PILIPSHEN COLON AND RECTAL SURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PILIPSHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-744-1613
Mailing Address - Street 1:1221 N CHURCH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1245
Mailing Address - Country:US
Mailing Address - Phone:856-234-3322
Mailing Address - Fax:856-234-3615
Practice Address - Street 1:1221 N CHURCH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1245
Practice Address - Country:US
Practice Address - Phone:856-234-3322
Practice Address - Fax:856-234-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty