Provider Demographics
NPI:1124095765
Name:DIGESTIVE DISEASE CONSULTANTS INC
Entity type:Organization
Organization Name:DIGESTIVE DISEASE CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:H
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LIPSITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-224-3113
Mailing Address - Street 1:301 FIRST AVENUE
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1858
Mailing Address - Country:US
Mailing Address - Phone:724-224-3113
Mailing Address - Fax:724-224-2447
Practice Address - Street 1:301 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1858
Practice Address - Country:US
Practice Address - Phone:724-224-3113
Practice Address - Fax:724-224-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA017952E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty