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NPI Code Detail

MEDICARE: GI MEDICAL ASSOCIATES

MEDICARE: GI MEDICAL ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianPAMD012611EPA

General Provider Information

NPI Number : 1366736787
Entity Type Code : Organization
Provider Name (Legal Business Name) : GI MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 189
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-0189
Country : US
Telephone Number : 610-237-8740
Fax Number : 610-623-5670
Provider Business Practice Location Address
First Line : 23 N LANSDOWNE AVE
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-2254
Country : US
Telephone Number : 610-626-4397
Fax Number : 610-623-5670
Authorized Official
Title or Position : PRESIDENT
Name : DR. GEORGE ISAJIW
Credential : M.D.
Telephone Number : 610-626-4397
Provider Enumeration Date : 06/02/2011
Last Update Date : 11/26/2021

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Directions to “GI MEDICAL ASSOCIATES ” Practice Location

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