Organization
ADVANCE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATWARLAL V RAMANI MD (OWNER PRESIDENT)
(302) 678-0725
Entity
Organization
Contact information
Practice address
742 S GOVERNORS AVE, SUITE 2, DOVER, DE 19904-4111
(302) 678-0725
(302) 678-5505
Mailing address
742 S GOVERNORS AVE, SUITE 2, DOVER, DE 19904-4111
(302) 678-0725
(302) 678-5505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2001101949
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001129928
—
DE
01
—
113040
COVENTRY
DE
01
—
177A22
BLUE CROSS BLUE SHIELD
DE
Enumeration date
05/27/2006
Last updated
08/22/2020
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