Organization
HAZLETON ENDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG KUL YOO M.D. (PRESIDENT)
(570) 454-1400
Entity
Organization
Contact information
Practice address
10 PARK PLACE, HAZLE TOWNSHIP, PA 18202-9394
(570) 454-1400
(570) 454-2144
Mailing address
10 PARK PLACE, HAZLE TOWNSHIP, PA 18202-9394
(570) 454-1400
(570) 454-2144
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14601501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007294940003
—
PA
01
—
2678733
AETNA
PA
Enumeration date
12/23/2006
Last updated
12/24/2008
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