Organization
COMMONWEALTH ENDOSCOPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S STERN M.D. (MEDICAL DIRECTOR)
(508) 586-8700
Entity
Organization
Contact information
Practice address
120 W CENTER ST, WEST BRIDGEWATER, MA 02379-1600
(508) 586-8700
(508) 586-8638
Mailing address
120 W CENTER ST, WEST BRIDGEWATER, MA 02379-1600
(508) 586-8700
(508) 586-8638
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
EXEMPT
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614255
TUFTS HEALTH PLAN
MA
01
—
903258
HARVARD PILGRIM HEALTH
MA
01
—
M88020
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/03/2006
Last updated
08/22/2020
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