Organization
EASTERN PENNSYLVANIA ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LOMBARDO (PRACTICE ADMINISTRATOR)
(610) 821-2828
Entity
Organization
Contact information
Practice address
1501 N CEDAR CREST BLVD STE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
Mailing address
1501 N CEDAR CREST BLVD STE 100, ALLENTOWN, PA 18104-2309
(610) 289-2172
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373542
HIGHMARK
PA
Enumeration date
09/12/2019
Last updated
10/31/2019
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