NPI: 1972678449
Provider Name: PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC
Former Legal Business Name: PGC ENDOSCOPY CENTER, INC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization
Specialization: Endoscopy
CLIA Number: 39D1065307
Address:
700 COTTMAN AVE
SUITE 201
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 742-9900
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PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC is an endoscopy clinic center in Philadelphia, PA. PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC NPI is 1972678449. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pgc Endoscopy Center, Inc.
The provider's business location address is:
700 COTTMAN AVE
SUITE 201
PHILADELPHIA, PA
ZIP 19111-062
Phone: (215) 742-9900
Fax: (215) 742-7051
The provider's authorized official is Sharon M Hohlfeld .
The authorized official title is Treasurer and has the following contact phone number (215) 589-9024.
The CLIA number assigned to this NPI record is 39D1065307 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/21/2006 and was last updated on 9/12/2019.