OrganizationActive
Endoscopy Center of Southeast Massachusetts LLC
NPI 1861501835 · Ambulatory Surgical Clinic/Center · Brockton, MA
Provider details
- NPI number
- 1861501835
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcia Issa, Office Manager(508) 588-3174
- License
- 63138 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1 Pearl St
St 1200
Brockton, MA 02301-2864
Phone: (508) 588-3174
Fax: (508) 588-3179
Approximate (ZIP-level) locationGet directions
Mailing address
1 Pearl St
Brockton, MA 02301-2864
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2013-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.