Organization
MIDATLANTIC ENDOSCOPY LLC
Active
Other names
Mid-Atlantic Gastrointestinal Center III
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
(717) 544-3569
Mailing address
2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
(717) 544-3569
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17211501
PA
Other
Enumeration date
03/27/2017
Last updated
09/15/2017
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