NPI | 1386185858 |
---|---|
Doing Business As | TWIN RIVERS ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | ASHLEY KOCH CFO 617-562-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-17 |