Organization
EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN CONNELLY (PATIENT ACCOUNT MANAGER)
(610) 289-2172
Entity
Organization
Contact information
Practice address
1501 N CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
Mailing address
1501 N CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15211501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001593000
INDEPENDENCE BC FACILITY
PA
01
—
0415476
CIGNA
PA
05
—
1007770160004
—
PA
01
—
1604
HIGHMARK FACILITY
PA
05
—
20013921
—
PA
01
—
216599
HEALTH ASSURANCE FACILITY
PA
01
—
257972
HEALTH ASSURANCE ANESTHES
PA
01
—
390841
CAPITAL BLUE CROSS
PA
01
—
7438374
AETNA
PA
Enumeration date
03/09/2006
Last updated
10/22/2019
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