NPI: 1023113701 · BRIDGEPORT, CT 06606 · Ambulatory Surgical Clinic/Center · NPI assigned 09/14/2006
| Authorized Official | WALLACE, CHARLES (ADMINISTRATOR) |
| NPI Enumeration Date | 09/14/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 74 | $26K |
| 2019 | 74 | $5K |
| 2020 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 161 | 156 | $31K |