Provider Demographics
NPI:1366485096
Name:ENDOSCOPIC ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ENDOSCOPIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DABEZIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-517-1061
Mailing Address - Street 1:1235 OLD YORK RD
Mailing Address - Street 2:SUITE # G23
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3800
Mailing Address - Country:US
Mailing Address - Phone:215-517-1061
Mailing Address - Fax:267-635-1206
Practice Address - Street 1:1235 OLD YORK RD
Practice Address - Street 2:SUITE # G23
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3800
Practice Address - Country:US
Practice Address - Phone:215-517-1061
Practice Address - Fax:267-635-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10701500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicare UPIN