| Organization Name: | CARLISLE ENDOSCOPY CENTER, LTD. |
| NPI Number: | 1033210760 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THEODORE BERK (MEDICAL DIRECTOR) |
| Mailing Address: | 241 Alexander Spring Rd Carlisle |
| State: | PA US |
| Postal Code: | 170156953 |
| Phone Number: | 7172452228 |
| Fax Number: | 7172450806 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 10101501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |