Northeastern Gastroenterology Associates, Pc

LBN: Northeastern Gastroenterology Associates, Pc
Northeastern Gastroenterology Associates, Pc is an health care organization with primary practice located at 1860 Fair Ave Suite A, Honesdale PA 18431-2108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Northeastern Gastroenterology Associates, Pc can be contacted via phone (570) 253-3391, or through Reynolds, David Dewitt via phone (570) 253-3991.

Contact Information

Primary practice address
1860 Fair Ave Suite A Honesdale PA 18431-2108
Fax: (570) 253-1811
Authorized official contact:
Name: Reynolds, David Dewitt Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1942211248
LBN Legal business name Northeastern Gastroenterology Associates, Pc
DBA Doing business as
Authorized official Reynolds, David Dewitt Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated May 18th, 2016 - about 7 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.

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All States NPI 1942211248 NPPES
Pennsylvania MEDICAID 0016721410006
Pennsylvania Other 804251
Pennsylvania Other 0450817000
Pennsylvania Other 2400697
Pennsylvania Other 66362
Pennsylvania Other 77790

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