39D2295376 CLIA NUMBER - NORTHEAST GASTROENTEROLOGY ASSOC

Laboratory Demographics

CLIA Number: 39D2295376

Facility Name: NORTHEAST GASTROENTEROLOGY ASSOC

Facility Address:
240 MIDDLETOWN BLVD #101D
LANGHORNE, PA
ZIP 19047
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Facility Phone Number: 215 333-1776

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801926209

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	39D2295376
LAB Type	Physician Office
Facility Name	NORTHEAST GASTROENTEROLOGY ASSOC
Street	240 MIDDLETOWN BLVD #101D
City	LANGHORNE
State	PA
ZIP	19047
Phone	215 333-1776
CertificateType	4
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Waiver

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