| Gastrointestinal Specialists Inc | |
|
10 Presidential Blvd Suite 124 Bala Cynwyd PA 19004-1107 | |
| (610) 664-9700 | |
| (610) 664-6391 |
| Full Name | Gastrointestinal Specialists Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 10 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Elyse Carrullo (ADMINISTRATOR) |
| Authorized Official Contact | 6106649700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Specialists Inc 10 Presidential Blvd Suite 124 Bala Cynwyd PA 19004-1107 Ph: (610) 664-9700 | Gastrointestinal Specialists Inc 10 Presidential Blvd Suite 124 Bala Cynwyd PA 19004-1107 Ph: (610) 664-9700 |
| NPI Number | 1235192394 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235192394 | NPI | - | NPPES |
| 000851059 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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