| NPI | 1245776889 |
|---|---|
| Doing Business As | NORTHEAST DIGESTIVE HEALTH CENTER EDISON SQUARE |
| Entity Type | Organization |
| Authorized Contact | MARK ALDOUS Managing Partner 704-783-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC AS0104) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |