Organization
GASTROINTESTINAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE CARRULLO (ADMINISTRATOR)
(610) 664-9700
Entity
Organization
Contact information
Practice address
10 PRESIDENTIAL BLVD, SUITE 124, BALA CYNWYD, PA 19004-1107
(610) 664-9700
(610) 664-6391
Mailing address
10 PRESIDENTIAL BLVD, SUITE 124, BALA CYNWYD, PA 19004-1107
(610) 664-9700
(610) 664-6391
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000851059
—
PA
Enumeration date
04/10/2006
Last updated
04/21/2017
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