Organization
DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLA TAJA MD (PRESIDENT)
(419) 228-3500
Entity
Organization
Contact information
Practice address
375 N EASTOWN RD, LIMA, OH 45807-2214
(419) 228-3500
(419) 879-6872
Mailing address
375 N EASTOWN RD, LIMA, OH 45807
(419) 228-3500
(419) 879-5142
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0802AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513356
ANTHEM
OH
05
—
2721273
—
OH
Enumeration date
08/31/2006
Last updated
11/29/2010
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