Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1932117827 |
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| LBN Legal business name | BAYVIEW ENDOSCOPY CENTER INC | ||||||||
| Authorized official | ROBERT DECKMANN - (PRESIDENT OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/04/2006 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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