NPI | 1235178146 |
---|---|
Other Name | SUBURBAN ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | JONATHAN BAILEY Medicare Authorized Official 203-609-1168 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22335) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2025-01-14 |