Provider Demographics
NPI:1265455463
Name:THE ENDOSCOPY CENTER AT BEL AIR
Entity Type:Organization
Organization Name:THE ENDOSCOPY CENTER AT BEL AIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANZ
Authorized Official - Middle Name:
Authorized Official - Last Name:VELLA CAMILLERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-836-5272
Mailing Address - Street 1:620 W MACPHAIL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4337
Mailing Address - Country:US
Mailing Address - Phone:410-836-5272
Mailing Address - Fax:410-296-5317
Practice Address - Street 1:620 W MACPHAIL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4337
Practice Address - Country:US
Practice Address - Phone:410-836-5272
Practice Address - Fax:410-296-5317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1366261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD149ZMedicare ID - Type Unspecified