Organization
SCHUYLKILL ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (PRESIDENT OF THE GENERAL PARTNER)
(615) 665-1283
Entity
Organization
Contact information
Practice address
48 TUNNEL RD, SUITE 103, POTTSVILLE, PA 17901-3875
(570) 622-6520
Mailing address
48 TUNNEL RD, SUITE 103, POTTSVILLE, PA 17901-3875
(570) 622-6520
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
17381501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00119614
RAILROAD MEDICARE
PA
Enumeration date
07/18/2006
Last updated
11/08/2007
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