| NPI | 1972977627 |
|---|---|
| Doing Business As | JEFFESON ENDOSCOPY CENTER AT BALA |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEBSTER President 215-955-7937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-10-04 |