Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1396738936 |
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| LBN Legal business name | WARREN GASTRO ENDOSCOPY CTR INC | ||||||||||||
| Authorized official | ADEL YOUSSEF - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/30/2005 | ||||||||||||
| Last updated | 05/06/2021 - About 5 years ago | ||||||||||||
| Identifiers |
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