Organization
EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN CONNELLY (PATIENT ACCOUNTS MANAGER)
(610) 289-2172
Entity
Organization
Contact information
Practice address
1501 N CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
(610) 289-2542
Mailing address
1501 N CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
(610) 289-2542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373542
HIGHMARK PA BLUE SHIELD
PA
01
—
2065391000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
08/22/2006
Last updated
10/22/2019
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