Healthcare Provider Details

I. General information

NPI: 1376599902
Provider Name (Legal Business Name): GASTROINTESTINAL ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 RYDAL RD SUITE 100
RYDAL PA
19046-1711
US

IV. Provider business mailing address

1095 RYDAL RD SUITE 100
RYDAL PA
19046-1711
US

V. Phone/Fax

Practice location:
  • Phone: 267-620-1100
  • Fax: 215-572-1279
Mailing address:
  • Phone: 267-620-1100
  • Fax: 215-572-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELEN P ROSENTHAL
Title or Position: EXECUTIVE DIRECTOR
Credential: RN,CGRN
Phone: 267-620-1122