Provider Demographics
NPI:1225382757
Name:NEWTON ENDOSCOPY CENTER LLC
Entity type:Organization
Organization Name:NEWTON ENDOSCOPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT BOARD OF MANAGERS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOLST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-345-6899
Mailing Address - Street 1:401 COMMERCE ST
Mailing Address - Street 2:STE. 740
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2446
Mailing Address - Country:US
Mailing Address - Phone:615-345-6879
Mailing Address - Fax:615-345-6879
Practice Address - Street 1:790 NEWTOWN YARDLEY RD
Practice Address - Street 2:STE. 415
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4503
Practice Address - Country:US
Practice Address - Phone:251-579-2004
Practice Address - Fax:251-579-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical