Organization
IMA ENDOSCOPY SURGICENTER P C
Active
Organization
IMA ENDOSCOPY SURGICENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HURWICH MD (PRESIDENT)
(219) 738-2724
Entity
Organization
Contact information
Practice address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 738-2081
Mailing address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 738-2081
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
50003667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274530A
—
IN
Enumeration date
07/05/2006
Last updated
02/29/2012
Update your record
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