Organization
ENDOSCOPY CENTER OF RED BANK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
365 BROAD ST STE 2E, RED BANK, NJ 07701-2151
(732) 842-4294
(732) 530-1497
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0935445
CLIA NUMBER
NJ
Enumeration date
03/31/2006
Last updated
03/29/2023
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