GI ASC LLC NPI 1649233719

NPI Information

GI ASC LLC is an ambulatory surgical clinic center in Philadelphia, PA. GI ASC LLC NPI is 1649233719. The provider is registered as an organization entity type.

The provider's business location address is:

3998 RED LION RD
SUITE 240 - CANCER CENTER
PHILADELPHIA, PA
ZIP 19114-436
Phone: (215) 632-3500
Fax: (215) 632-6533

The provider's authorized official is Elyse Carrullo .
The authorized official title is Administrator and has the following contact phone number (610) 664-9700.

The CLIA number assigned to this NPI record is 39D1075723 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 9/6/2012.

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:

Other Identifiers

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