NPI | 1184713919 |
---|---|
Doing Business As | OCEAN STATE ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: RI FAS01015) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2024-03-21 |