| Organization Name: | THREE RIVERS ENDOSCOPY CENTER, INC. |
| NPI Number: | 1386602332 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT D FUSCO (MEDICAL DIRECTOR) |
| Mailing Address: | 725 Cherrington Parkway Ste 101 Moon Township |
| State: | PA US |
| Postal Code: | 151084305 |
| Phone Number: | 4122621000 |
| Fax Number: | 4122624607 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 05/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 391061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |