Organization
WARREN GASTRO ENDOSCOPY CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL I YOUSSEF M.D. (PRESIDENT)
(330) 399-7215
Entity
Organization
Contact information
Practice address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
(330) 399-2411
Mailing address
PO BOX 72188, CLEVELAND, OH 44192-0002
(330) 399-7215
(330) 399-2411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
346 0335AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157529
ANTHEM PIN
OH
05
—
2078719
—
OH
Enumeration date
08/30/2005
Last updated
05/06/2021
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