Organization
MID-ATLANTIC ENDOSCOPY CENTER, LLC
Active
Other names
Mid-Atlantic Gastrointestinal Center III, Mid-Atlantic Gastrointestinal Center, Mid-Atlantic Endoscopy Center, Mid-Atlantic Gastrointestinal Center II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4923 OGLETOWN STANTON RD, STE 100, NEWARK, DE 19713-2081
(302) 993-0310
(302) 993-0340
Mailing address
20 BURTON HILLS BLVD., SUITE 500, ATTN: L&C, NASHVILLE, TN 37215-6176
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022924
—
DE
01
—
1549
AMERIHEALTH
—
01
—
177A41
BLUE CROSS OF DELEWARE
—
Enumeration date
06/22/2005
Last updated
09/21/2022
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