Organization Name: | CONSULTANTS IN GASTROENTEROLOGY, INC ENDOSCOPY CENTER |
NPI Number: | 1245408483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN SCHWARTZ (MEDICAL DIRECTOR) |
Mailing Address: | 7530 Fredle Dr Concord Twp |
State: | OH US |
Postal Code: | 440779406 |
Phone Number: | 4403862250 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |