Organization
GASTROENTEROLOGY CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE BIANCA (PRACTICE ADMINISTRATOR)
(570) 288-8100
Entity
Organization
Contact information
Practice address
490 NORTHAMPTON ST, GATEWAY SUITE 1, EDWARDSVILLE, PA 18704-4551
(570) 288-8100
(570) 288-7987
Mailing address
490 NORTHAMPTON ST, GATEWAY SUITE 1, EDWARDSVILLE, PA 18704-4551
(570) 288-8100
(570) 288-7987
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
06/03/2011
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