NPI 1407847676 EASTSIDE ASSOCIATES, LLC ST CLAIR SHORES MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Eastside Associates, Llc - NPI: 1407847676

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: EASTSIDE ASSOCIATES, LLC
NPI Number: 1407847676
Entity Type Code: Organizational (2)
Authorized Official Name: FERNANDO BERMUDEZ
(MEDICAL DIRECTOR)
Mailing Address: 28963 Little Mack Ave Suite 103
St Clair Shores
State: MI US
Postal Code: 480813015
Phone Number: 5864475110
Fax Number: 5867746091
NPI Enumeration Date: 11/04/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QE0800X
License Number: 506822
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Endoscopy
Taxonomy Definition:


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