Provider Demographics
NPI:1942458070
Name:GADSDEN ENDOSCOPY, LLC
Entity Type:Organization
Organization Name:GADSDEN ENDOSCOPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PUGLIESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-492-2484
Mailing Address - Street 1:820 GOODYEAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1146
Mailing Address - Country:US
Mailing Address - Phone:256-492-2484
Mailing Address - Fax:256-492-2486
Practice Address - Street 1:820 GOODYEAR AVENUE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1146
Practice Address - Country:US
Practice Address - Phone:256-492-2484
Practice Address - Fax:256-492-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical