Delco Gastroenterology

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16001501 Issued in PA

Legal business name

DELCO GASTROENTEROLOGY

Practice address

1088 West Baltimore Pike
Suite 2407
Media, PA 19063-5146

Phone

(610) 565-1808

Fax

(610) 892-9535

NPI assigned

Dec 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pscar Laborda, M.D.

Title

Director

Phone

(610) 565-1808

Specialties & licenses 1

Addresses

Other names 1

• Endoscopy Center of Delaware Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1578748232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 WEST BALTIMORE PIKE",
            "address_2": "SUITE 2407",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-1808",
            "fax_number": "610-892-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 WEST BALTIMORE PIKE",
            "address_2": "SUITE 2407",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-1808",
            "fax_number": "610-892-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "LABORDA",
        "authorized_official_first_name": "PSCAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-565-1808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaware County Juvenile Detention Center Family Planning
• Delaware County Professional Services, Inc
• Delaware County Rheumatology, PC
• Delaware County S.a.G.E.
• Delaware County Surgical Associates P.C.
• Delco Gastroenterology P.C.
• Francis X Delone Jr., M.D.
• Gretchen Delone
• Madison Marie Delong
• Richard Demayo, MSW, LCSW

• Ambulatory Surgical Clinic/Center in Media, PA
• Providers in Media, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.