| Organization Name: | AMBULATORY CENTER FOR ENDOSCOPY, LLC |
| NPI Number: | 1003842626 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL SCIARRA (CHAIRMAN) |
| Mailing Address: | 7600 River Rd 4th Floor North Bergen |
| State: | NJ US |
| Postal Code: | 070476217 |
| Phone Number: | 2019692111 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |