Provider Demographics
NPI:1598952061
Name:ENDOSCOPY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ENDOSCOPY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-365-9085
Mailing Address - Street 1:8409 DORSEY CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8305
Mailing Address - Country:US
Mailing Address - Phone:703-365-9085
Mailing Address - Fax:703-365-0269
Practice Address - Street 1:8409 DORSEY CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8305
Practice Address - Country:US
Practice Address - Phone:703-365-9085
Practice Address - Fax:703-365-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical