Organization
THE ENDOSCOPY CENTER AT GATEWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BARRY FRIED MD (OWNER)
(570) 288-8100
Entity
Organization
Contact information
Practice address
490 NORTHAMPTON STREET, EDWARDSVILLE, PA 18704
(570) 288-8100
(570) 714-2733
Mailing address
490 NORTHAMPTON STREET, EDWARDSVILLE, PA 18704
(570) 288-8100
(570) 714-2733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
09/17/2008
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