ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC NPI 1861501835

NPI Information

ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC is an ambulatory surgical clinic center in Brockton, MA. ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC NPI is 1861501835. The provider is registered as an organization entity type.

The provider's business location address is:

1 PEARL ST
ST 1200
BROCKTON, MA
ZIP 02301-864
Phone: (508) 588-3174
Fax: (508) 588-3179

The provider's authorized official is Marcia M Issa .
The authorized official title is Office Manager and has the following contact phone number (508) 588-3174.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/5/2013.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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