Healthcare Provider Details

I. General information

NPI: 1366485096
Provider Name (Legal Business Name): ENDOSCOPIC ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 OLD YORK RD SUITE # G23
ABINGTON PA
19001-3800
US

IV. Provider business mailing address

1235 OLD YORK RD SUITE # G23
ABINGTON PA
19001-3800
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-1061
  • Fax: 267-635-1206
Mailing address:
  • Phone: 215-517-1061
  • Fax: 267-635-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number10701500
License Number StatePA

VIII. Authorized Official

Name: DR. MARTA A DABEZIES
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 215-517-1061