Organization Name: | HAZLETON ENDOSCOPY CENTER, INC. |
NPI Number: | 1043375702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOUNG KUL YOO (PRESIDENT) |
Mailing Address: | 10 Park Place Hazle Township |
State: | PA US |
Postal Code: | 182029394 |
Phone Number: | 5704541400 |
Fax Number: | 5704542144 |
NPI Enumeration Date: | 12/23/2006 |
NPI Last Update Date: | 12/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 14601501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |