Organization
ENDOSCOPY CENTER OF RED BANK PA
Active
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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