Provider Demographics
NPI:1366032617
Name:EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER, LLC
Entity type:Organization
Organization Name:EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-776-1710
Mailing Address - Street 1:310 BAKER AVE STE 175A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2140
Mailing Address - Country:US
Mailing Address - Phone:978-776-1710
Mailing Address - Fax:978-776-1750
Practice Address - Street 1:310 BAKER AVE STE 175A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2140
Practice Address - Country:US
Practice Address - Phone:215-589-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical