Organization
COLLEGE HEIGHTS ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BOWYER (ADMINISTRATIVE DIRECTOR)
(610) 439-8551
Entity
Organization
Contact information
Practice address
3147 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4813
(610) 841-2432
(610) 841-4433
Mailing address
3147 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4813
(610) 841-2432
(610) 841-4433
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089900
AMERIHEALTH MERCY
PA
01
—
1466649
HIGHMARK BLUE SHIELD
PA
01
—
CK8757
RAILROAD MEDICARE
PA
Enumeration date
04/05/2006
Last updated
04/20/2008
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