Organization
ENDOSCOPY CENTER OF PENNSYLVANIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY B MILLER RN BSN (COO)
(717) 242-4556
Entity
Organization
Contact information
Practice address
310 ELECTRIC AVE, SUITE 150, LEWISTOWN, PA 17044-1369
(717) 242-7136
(717) 242-5254
Mailing address
310 ELECTRIC AVE, SUITE 150, LEWISTOWN, PA 17044-1369
(717) 242-7136
(717) 242-5254
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016165450002
—
PA
Enumeration date
02/08/2006
Last updated
09/27/2011
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