Organization
GASTROINTESTINAL WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDREW ELINSKY (CEO/ADMINISTARTOR)
(917) 359-0956
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY RD # UNITS804, YARDLEY, PA 19067-7706
(917) 359-0956
Mailing address
301 OXFORD VALLEY RD # UNITS804, YARDLEY, PA 19067-7706
(917) 359-0956
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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