Main Line PA Endoscopy Asc LP
Clinic/Center, Ambulatory Surgical in Bala Cynwyd, PA. Organization (NPI-2).
NPI number1235239054
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1235239054
- Entity type
- Organization (NPI-2)
- Legal business name
- Main Line PA Endoscopy Asc LP
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 16701501 | PA | Yes |
Other names
- Main Line Endoscopy Center Bala Cynwyd (Doing Business As)
Practice location
333 E City Line AveTwo Bala Plaza, Suite 30
Bala Cynwyd, PA 19004-1501
Phone 610-644-7274 · Fax 610-644-7276
Mailing address
1a Burton Hills Blvd # L&CSte 300
Nashville, TN 37215-6187
Phone 615-240-3820 · Fax 615-234-1720
Authorized official
Jeffrey Snodgrass
President
6156651283
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