Provider Demographics
NPI:1720069750
Name:DIGESTIVE HEALTH AND ENDOSCOPY CENTER, INC.
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH AND ENDOSCOPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FASCETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-621-7777
Mailing Address - Street 1:1000 INTEGRITY DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3332
Mailing Address - Country:US
Mailing Address - Phone:412-621-7777
Mailing Address - Fax:412-683-8698
Practice Address - Street 1:1000 INTEGRITY DR
Practice Address - Street 2:SUITE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3332
Practice Address - Country:US
Practice Address - Phone:412-621-7777
Practice Address - Fax:412-683-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14711501261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical