Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI # | 1184683963 |
||||
| LBN Legal business name | BERKSHIRE ENDOSCOPY CENTER LLC | ||||
| Authorized official | VERONICA DEYESO - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/21/2006 | ||||
| Last updated | 08/11/2010 - About 16 years ago | ||||
| Identifiers |
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