Northeast Gastroenterology Center, Inc.
LBN: Northeast Gastroenterology Center, Inc.
Northeast Gastroenterology Center, Inc. is an health care organization with primary practice located at 10 Park Pl , Hazle Township PA 18202-2885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Northeast Gastroenterology Center, Inc. can be contacted via phone (570) 454-1400, or through Yoo, Young Kul via phone (570) 454-1400.
Contact Information
Primary practice address
10 Park Pl
Hazle Township PA 18202-2885
Phone: (570) 454-1400
Fax: (570) 454-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1164509287 |
|---|---|
| LBN Legal business name | Northeast Gastroenterology Center, Inc. |
| DBA Doing business as | |
| Authorized official | Yoo, Young Kul Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 6th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164509287 | NPPES |
| Pennsylvania | Other | 513306 | AETNA |
| Pennsylvania | Other | P006599 | AETNA |
| Pennsylvania | MEDICAID | 0016044280008 | AETNA |
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