Provider Demographics
NPI:1972734788
Name:ENDOCRINOLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:ENDOCRINOLOGY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHRISTOFIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-453-9999
Mailing Address - Street 1:72 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3209
Mailing Address - Country:US
Mailing Address - Phone:614-453-9999
Mailing Address - Fax:614-453-9998
Practice Address - Street 1:72 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3209
Practice Address - Country:US
Practice Address - Phone:614-453-9999
Practice Address - Fax:614-453-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty