FALL HILL GASTROENTEROLOGY ENDOSCOPY CENTER LLC NPI 1063667731

NPI Information

FALL HILL GASTROENTEROLOGY ENDOSCOPY CENTER LLC is an endoscopy clinic center in Fredericksburg, VA. FALL HILL GASTROENTEROLOGY ENDOSCOPY CENTER LLC NPI is 1063667731. The provider is registered as an organization entity type.

The provider's business location address is:

4103 LAFAYETTE BLVD
FREDERICKSBURG, VA
ZIP 22408-274
Phone: (540) 371-9696

The provider's authorized official is Thomas A Mastri .
The authorized official title is Medical Director and has the following contact phone number (540) 371-9696.

The CLIA number assigned to this NPI record is 49D1098746 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2008 and was last updated on 11/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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