| Organization Name: | GREENBELT ENDOSCOPY CENTER, LLC |
| NPI Number: | 1013170521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SIEGEL (DIRECTOR) |
| Mailing Address: | 9821 Greenbelt Rd Ste 103 Lanham |
| State: | MD US |
| Postal Code: | 207066240 |
| Phone Number: | 3015521801 |
| Fax Number: | 3015522695 |
| NPI Enumeration Date: | 07/03/2008 |
| NPI Last Update Date: | 08/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | A1212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |