Organization
CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
105 ERDMAN WAY, LEOMINSTER, MA 01453-1805
(978) 840-6767
(978) 840-6766
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AQA3
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854127
—
MA
01
—
2952966
CIGNA
—
01
—
3644952
AETNA
—
01
—
621501
TUFTS
—
01
—
90346
FALLON
—
01
—
907577
HPHC
—
01
—
M88031
BCBS
—
Enumeration date
11/06/2006
Last updated
09/13/2022
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