Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI # | 1083947758 |
||||
| LBN Legal business name | ADVANCED ENDOSCOPY P.C. | ||||
| Authorized official | AZEEM KHAN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/14/2009 | ||||
| Last updated | 09/14/2009 - About 17 years ago | ||||
| Identifiers |
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