Healthcare Provider Details

I. General information

NPI: 1851363279
Provider Name (Legal Business Name): ENDOSCOPY CENTER OF CENTRAL PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 FISHBURN RD
HERSHEY PA
17033-9795
US

IV. Provider business mailing address

1421 FISHBURN RD
HERSHEY PA
17033-9795
US

V. Phone/Fax

Practice location:
  • Phone: 717-835-2727
  • Fax:
Mailing address:
  • Phone: 717-835-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ROBERT F WERKMAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 717-533-2224