22D0862491 CLIA NUMBER - GASTROENTEROLOGY HEALTH CARE ASSOC PC

Laboratory Demographics

CLIA Number: 22D0862491

Facility Name: GASTROENTEROLOGY HEALTH CARE ASSOC PC

Facility Address:
2000 WASHINGTON STREET STE 368
NEWTON, MA
ZIP 02162
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Facility Phone Number: 617 969-1227

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639399876

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	22D0862491
LAB Type	Physician Office
Facility Name	GASTROENTEROLOGY HEALTH CARE ASSOC PC
Street	2000 WASHINGTON STREET STE 368
City	NEWTON
State	MA
ZIP	02162
Phone	617 969-1227
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024