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Organization
PENN STATE HERSHEY ENDOSCOPY CENTER LLC
Active
Organization
PENN STATE HERSHEY ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL HAIGHT MD (MEDICAL DIRECTOR)
(814) 272-4481
Entity
Organization
Contact information
Practice address
32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
(814) 272-4481
(814) 272-4470
Mailing address
32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
(814) 272-4481
(814) 272-4470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2287I501
PA
Other
Enumeration date
12/21/2010
Last updated
09/08/2011
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