COMMONWEALTH ENDOSCOPY CENTER, INC; NPI #1154415305

Contact Information

COMMONWEALTH ENDOSCOPY CENTER, INC

120 W CENTER ST
WEST BRIDGEWATER, MA 02379-1600

Phone: 508-586-8700
Fax: 508-586-8638
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for COMMONWEALTH ENDOSCOPY CENTER, INC

NPI Number 1154415305

LBN Legal business name COMMONWEALTH ENDOSCOPY CENTER, INC

Authorized official JERRY STERN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

MA	License #	EXEMPT
MA	Other	M88020	BLUE CROSS BLUE SHIELD
MA	Other	903258	HARVARD PILGRIM HEALTH
MA	Other	614255	TUFTS HEALTH PLAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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